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“ Strength does not come from winning. Struggles & Hardship develop your strength. When you go through hardship and decide not to surrender, that is strength” Arnold Schwarzenegger Bodybuilder and Actor
Pathology of Breast Cancer Dr. Venkatesh M. Shashidhar Senior Lecturer in Pathology Fiji School of Medicine
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Breast
Myoepithelial Cells  (ipx)
Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fibrocystic Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benign Neoplasms: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Carcinoma  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology of Breast Carcinoma:
Clinical Features: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Histological Types Histologic Type Freq. (UK) Infiltrating   Duct   Ca 63.6 (75) Lobular Carcinoma 5.9 (10) Infiltrating   Ductal & Lobular Ca 1.6  Medullary Carcinoma 2.8 (3) Mucinous (colloid) Carcinoma 2.1 (3) Comedocarcinoma 1.4 Carcinoma-In-Situ 5%
Breast Carcinoma
Breast Carcinoma
Breast Carcinoma - Schirrous
Infiltrating Duct Carcinoma: small hard
Medullary Carcinoma: Large soft
Infiltrating Duct Carcinoma
Infiltrating Duct Carcinoma
Medullary Carcinoma: Inflammation.
Infiltrating Duct Carcinoma: Fibrosis
Schirrous Carcinoma
Medullary Carcinoma Soft, inflammatory cells
Intraductal in-situ Carcinoma
Lobular Carcinoma
Intraduct Carcinoma-in-situ
Intraduct Carcinoma
Lymphatic spread – Peu-de Orange..
Spread of Breast Carcinoma:
Pagets Disease
Pagets Disease (Epidermal invasion)
Estrogen Receptor & Prognosis: ,[object Object],[object Object],[object Object]
HER2 ,[object Object],[object Object]
Estrogen receptor (ER) in nuclei
Immunoperoxidase Positivity  Neg  1+ 2+  3+
Stag Definition   5-year  Surv (%)  7-year Surv (%)  I  Tumor 2 cm or less without spread  96   92   II  Tumor 2-5cm with regional lymph node involvement but without distant metastases, OR > 5 cm in diameter without spread  81   71   III   Any size with skin/chest wall fixation, & axillary or internal mammary nodal involvement, without distant metastases  52   39   IV   Tumor of any size with or without regional spread but with evidence of distant metastases  18   11

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