ABSITE 2025 – Breast Exam Questions and Answers 100% Pass

ABSITE 2025 – Breast Exam Questions and Answers 100% Pass level 1 ax LN - lateral to pec minor level 2 ax LN - posterior to pec minor Level 3 ax LN - medial to pec minor blood supply to breast - internal thoracic (mammary) intercostals laterla thoracic thoracoacrominal artery batson's plexus - valeless venos plexus that allows direct hematogenous spread to spine boundaries of ax dissection - superior: ax vein med: chest wall lateral: skin 2Brittie Donald, All Rights Reserved © 2025 ant: pec major and minor pos: latissimus dorsi Mondor's disease - superficial thrombophlebitis of lateral thoracic vein or tributary treat with NSAIDS proliferative with atypia benign breast lesions - atypical ductal and lobular hyperplasia symptomatic breast cyst - aspirate, if bloody or recurrent then cytology bloody aspirate of breast - surgical excision complex cysts (solid component/internal vascularity) - core needle bx of solid component complex fibroadenoma - risk of dev carcinoma, fibroadenoma with sclerosing adenosis, papillary apocrine hyperplasia, cysts, or epithelial calcs tubular adenoma - benign, variant of peri canalicular fibroadenoma with adenosis like epihelial proliferation phylloides tumor subclasses - benign, bordernine, malignant stain poistive for vimentin and actin similar to sarcoma with hematogenous spread 3Brittie Donald, All Rights Reserved © 2025 MC cause of bloody nipple discharge - intraductal papilloma (non-malignant) dx workup of nipple discharge - ductal fluid cytology, contrast ductogram, ductoscopy minimaly helpful best dx test: duct excision managemnet of intraductal papillom - subareolar resectio of invovled duct and papiloma ductal ectasia - dilation of subareolar duct in peri-and post-menopausal women symptmatic - excision MC bacteria to cause breast abscesses and mastitis - s. aureous recurrent unresolving mastitis - biopsy of skin to rule out inflammatory breast cancer sclerosing adenosis - pres: microcalcs dx: CNB management: if no atypia and concordant with imaging, observe, not cancer precursor radial scar - sclerosing papillary proliferation, benign sclerosing ductal proliferation dx: mammo tx excisional biopsy 4Brittie Donald, All Rights Reserved © 2025 ALH - not premalignant but marker of inceased risk Dx: CNB tx: exc bx and chemopxp with tamoxifen or anastrazole ADH - assoc with 4-5 fold increased risk of invasive cancer dx: CNB tx: exc bx LCIS - multifocal and bilateral, genetic disposition marker for 20-40% risk of Ca dev in either breast tx: localized excision what type of ca is most common after dx of LCIS - IDC