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Surgery General a9003165

TRUE about papillary carcinoma of breast are all, EXCEPT:

A
Presents in the seventh decade of life
B
Typically papillary carcinomas are large
C
A low frequency of axillary lymph node metastases
D
None of the above
High-Yield Explanation
Papillary carcinoma is a special-type cancer of the breast that accounts for 2% of all invasive breast cancers. It generally presents in the seventh decade of life and occurs in a dispropoionate number of nonwhite women. Typically, papillary carcinomas are small and rarely attain a size of 3 cm in diameter. These cancers are defined by papillae with fibrovascular stalks and multilayered epithelium. McDivitt and colleagues noted that these tumors showed a low frequency of axillary lymph node metastases and had 5- and 10-year survival rates similar to those for mucinous and tubular carcinoma Ref: Schwaz's principle of surgery 9th edition, chapter 17.

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