NBME 23 Metastatic breast cancer (NBME Answers)

NBME 23 Answers ↦

nbme23/Block 1/Question#34 (reveal difficulty score)
A 64-year-old woman is found dead at the foot ...
Metastatic breast cancer🔍,📺
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+11
submitted by sajaqua1(558),

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monkd It doesn't explain the sudden death, but I suppose they aren't asking for that! +4

charcot_bouchard I hate this type of ques. Here it is. Tell me what it is? +2

divya also, a liver infarct is unlikely due to rich dual blood supply. +1

drzed @divya Rather, if there was an infarct, it will be hemorrhagic, not pale. +1

llamastep1 Multiple solid lesions on a healthy liver = meta. I assumed breast wouldn't meta to liver (it's usually GI cancers) but it makes sense since all the blood gets filtered by the liver at some point. TIL! +

sophia UW QId: 59 +

UW on FNH -pop: young women -mx: hepatic vascular deformity->localized hyperperfusion w/ secondary hyperplastic response -dx: small, solitary, pale nodule. central stellate scar w/ fibrous septae -sx: asymptomatic; discovered incidentally

+1/- almondbreeze(91),

+4
submitted by seagull(1688),

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at eht vyre ,aetsl erteh rea eluimltp aears of aneccr vggiin osme aincodniit hatt ti eybma aecmittats.

+2
submitted by niboonsh(369),

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+0
submitted by cuteaf(7),

The tissue that invades the liver looks entirely different than the liver itself. This is what made me think that its origin is foreign. It doesn't look like fibrosis either, which would usually lead to some degree of constriction.