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Benign Breast Lump in a Young Woman: Case Study and Management

This case study involves a 23-year-old woman who noticed a lump in her right breast. Initial assessments suggest a probably benign mass. Learn about recommended investigations and patient communication. Understand the management of benign breast lesions.

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Benign Breast Lump in a Young Woman: Case Study and Management

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  1. Breast Case 1 • Jane McNicholas • Consultant Oncoplastic Breast Surgeon • East Lancashire Hospitals NHS Trust

  2. Case 1 • 23 year old woman • Noticed a lump 3 months ago in right breast • Might have got slightly larger in that time • Nil of note in history • On examination, a 2cm lump found in upper outer quadrant of breast - P2

  3. Case 1 • P1 - normal • P2 - probably benign • P3 - indeterminate • P4 - probably malignant • P5 - malignant

  4. Case 1 • What investigations would you do?

  5. Case 1 • Ultrasound of right breast reveals 2 cm discrete benign looking mass - U2 • FNA - C2 • Core biopsy - B2 - fibroadenoma

  6. Case 1 • U1 - normal • U2 - benign • U3 - indeterminate • U4 - probably malignant • U5 - malignant

  7. Case 1 • C1 - inadequate/ insufficient for analysis (i.e too few epithelial cells) • C2 - benign • C3 - indeterminate • C4 - suspicious of malignancy • C5 - malignant

  8. Case 1 • B1 - normal breast tissue • B2 - benign • B3 - indeterminate • B4 - suspicious of malignancy • B5a - DCIS • B5b - invasive cancer • B5c - unable to assess invasion

  9. Case 1 • What would you tell the patient?

  10. Case 1 • Benign breast lesion • Only reason to remove it is at patient request • Reassure and discharge

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