Section: Breast Curriculum: Curriculum, page 9 and Curriculum, page 9

Relevant Breast anatomy

  • Lobules/ducts
    • Epithelial layer
    • Myoepithelial (basal) layer
    • Basement membrane
    • Fibroepithelial/stromal tissue

Non-proliferativeProliferativeProliferative with atypia
RR1.2-1.4x1.7-2.1x4-5x
EpithelialMild ductal hyperplasiaFlorid ductal hyperplasiaAtypical ductal hyperplasia
Fibroepithlial lesionFibroadenomaPseudoangiomatous Stromal Hyperplasia (PASH)Complex fibroadenoma
Metaplasia (cuboid to columnar)Simple columnar alterationColumnar hyperplasiaFlat epithelial atypia (RR 1.5x)
Sclerosing lesionSclerosing adenosis
Radial Scar and Complex Sclerosing Lesion
LobularLikely starts from epithelial cellsAtypical lobular hyperplasia
Lobular carcinoma in situ
PapillomaPapilloma without atypiaPapilloma with atypia

Lesions with malignant potential

Other