Lourence M.

Patagoc Group 6

BREAST
(Case 1)

A 25-year-old woman presents with a 2-cm discrete, palpable, smooth, movable mass that developed 2 months ago. The mass is slightly
tender. The patient thinks that the mass is larger and more tender during the days prior to menstruation.

History
Age: 25 y.o. (premenopausal)
Gender: female
Signs and symptoms: 2 cm discrete, palpable, smooth, movable mass that developed 2 months ago. mass is larger and more tender during the days
prior to menstruation
Family hx: not specified
Risk factors for cancer: none

Physical Exam
 Inspection
BREAST Benign Malignant Patient
Symmetry Symmetric Asymmetric
Size and shape Regular Irregular
Evidence of edema none Present (late stage) none
Nipple and skin retraction none Present none

Erythema none Present none

Lesions none Present none
Nipple discharges none Present none

 Palpation
Benign Malignant patient
Lymphadenopathy none present
Mass
 Size -small to large -small to large -2cm mass
 Shape -regular with well defined -irregular
borders
 Mobility - movable - not movable -movable
 Fixation - not fixed - fixed
 consistency -smooth to firm - firm to hard
Nipple discharge (bloody/pus) none Present none
Tenderness None Present none

Imaging and biopsy

Ultrasound +Core needle biopsy

Benign Malignant
-abundant stroma with
Histiologically normal cell elements

Diagnosis
fibroadenoma

Treatment

Conservative surgical

<3cm >3cm

Follow up for 3 mos

Cryoablation & surgical excition
Ultrasound-guided vacuum
assisted biopsy