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Lesi fibrocystic
Fibrocystic change. The ducts are lined by apocrine metaplastic cells with focal
papillary proliferation.
Fibroadenoma
Multiple fibroadenomas with smooth, circumscribed borders.
Phylloides tumor
Phyllodes tumor. Multiple, polypoid nodules are separated by cleft-like spaces.
Phyllodes tumor. Pre-existing old fibroadenoma (right field) has acellular fibrous
stroma and atrophic ducts. In contrast, the phyllodes tumor contains hyperplastic
ducts and cellular stroma (left field).
Phyllodes tumor. A hyperplastic duct is surrounded by fibrous stroma with low and
high cellularity.
PAGET DISEASE
Normal nipple
Paget's disease of nipple. Paget's cells have pale, vacuolated cytoplasm and large
nuclei and migrate through the epidermis from parabasal cell layers upward.
Notice the highest concentration in the deep layers of epidermis.
Paget's disease of nipple. Hyperkeratosis of epidermis and chronic inflammation in
the dermis are common. Paget's cells permeate through the epidermis.
Gynecomastia
Male breast - gynaecomastia. Note blind-ending ducts, absence of lobules and periductal stromal
oedema
'Mouse over' - for closer view - note mild epithelial hyperplasia in ducts
Associated with Liver disease, or drug induced like spinorolactone.