Qap (Anatomical Pathology) 

QAP Peer Review

AP112
Case History: F/50. Breast mass
Intended diagnosis: Proliferative fibrocystic change. Contributed by:JKCC
Code Diagnosis Comment Score
anonymous Proliferative fibrocystic disease (100%) Changes include radial scar, microscopic ductal papilloma, and marked epitheliosis. It is associated with slightly increased risk (2x) of subsequent invasive carcinoma.  100
anonymous Proliferative fibrocystic change, 100% nil  100
anonymous Fibrocystic changes; epitheliosis; microscopic focus of radial scar. 100% nil  100
anonymous Breast : Moderate to florid epitheliosis with a focus of radial scar (100%) (1) Moderate to florid epitheliosis is associated with a slightly increased risk ( 1.5 to 2 times ) for invasive carcinoma. (2) Page and Anderson have suggested that those "radial scar-like" lesions measuring 1 to 9 mm be designated radial scars and that those which are 10 mm or more should be termed complex sclerosing lesions.  100
anonymous Papillary carcinoma (100%) There is sclerosing adenosis, fibrocystic change and a small focus of florid hyperplasia (at the edge of the slide)  20
anonymous Proliferative fibrocystic change, with radial scar and ductal papilloma nil  100
anonymous Fibrocystic disease with intraductal papillomas and radial scar. 100% nil  100
anonymous Fibrocystic changes with small papillomas, radial scar and florid epithelial hyperplasia. 100% There will be about 2 times increased risk of carcinoma when compared to normal population.  100
anonymous Breast - Proliferative fibrocystic change 100% nil  100
anonymous Radial scar. Intraduct papilloma with mild epithelial hyperplasia (100%) nil  100
anonymous proliferative fibrocystic changes nil  100
anonymous benign intraduct papilloma / florid papillomatosis ? area of fibrosis = radial sclerosis can be associated with recurrance and development of malignancy. suggest follow up  100
anonymous Non-proliferative fibrocystic change; intraduct papilloma. 100% These changes do not indicate an increased risk of invasive carcinoma.  95
anonymous Breast : Complex sclerosing lesion / radial scar lesion, and fibrocystic change with intraduct papillomatosis / epitheliosis (100%). nil  100
anonymous Intraducal papilloma, fibrocystic disease, radial scar 100% nil  100
anonymous Radial sclerosing lesion and florid epitheliosis. Probability: 100% Florid epitheliosis associates with 1.5 to 2x increased risk of developing breast cancer.  100
anonymous Multiple intraductal papillomas and radial scar (100%) nil  100
anonymous Fibrocystic disease with radial scar and moderate epithelial hyperplasia (100%) nil  100