Diagnosis - Benign - Usual epithelial hyperplasia (UEH) and apocrine metaplasia (AM)
Features to note - UEH:
- Duct lumen partly filled with crowded epithelial cells
- Cells appear to stream with nuclear overlap.
- Two epithelial cell types can bee seen in ducts - more easily appreciated with immuno
- Slit-like spaces rather than punched out holes between epithelium
Features to note - AM:
- Duct lumen partly filled with large epithelial cells with pink granular cytoplasm
- Papillary pattern may be seen
- Some nuclear atypia allowed with enlarged nuclei and prominent nucleoli commonplace