Palpable Breast Mass Discussion
Palpable Breast Mass Discussion
Palpable Breast Mass Discussion
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<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>Panel <strong>Discussion</strong>- August 25, 2010Accra, Ghana
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• 39-year-old woman with a 4 month historyof an enlarging right breast mass.
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• 39-year-old woman with a 4 month historyof an enlarging right breast mass.• HPI- denies nipple discharge, pain or anyother symptoms related to the mass.
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• 39-year-old woman with a 4 month historyof an enlarging right breast mass.• HPI- denies nipple discharge, pain or anyother symptoms related to the mass.• FHx- 49 y.o. paternal aunt with breastcancer.
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• 39-year-old woman with a 4 month historyof an enlarging right breast mass.• HPI- denies nipple discharge, pain or anyother symptoms related to the mass.• FHx- 49 y.o. maternal aunt with breastcancer.• PMHx- unremarable• Social Hx- works as a clerk at a localcompany
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• PE- 3.7 cm right breast smoothlymarginated mass at 10 oc 4.5 cmfn. Noadenopathy and left breast and axillaunremarkable.
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• PE- 3.7 cm right breast smoothlymarginated mass at 10 oc 4.5 cmfn. Noadenopathy and left breast and axillaunremarkable.• Imaging Studies: mammograms ?ultrasound ?
• Ultrasound:<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• PE- 3.7 cm right breast smoothlymarginated mass at 10 oc 4.5 cmfn. Noadenopathy and left breast and axillaunremarkable.• Imaging Studies: mammograms ?ultrasound ?• Biopsy: core vs FNA
FNA vs Core Biopsy
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• PE- 3.7 cm right breast smoothlymarginated mass at 10 oc 4.5 cmfn. Noadenopathy and left breast and axillaunremarkable.• Imaging Studies: mammograms ?ultrasound ?• Biopsy: core vs FNA• Pathology Issues-
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• PE- 3.7 cm right breast smoothlymarginated mass at 10 oc 4.5 cmfn. Noadenopathy and left breast and axillaunremarkable.• Imaging Studies: mammograms ?ultrasound ?• Biopsy: core vs FNA• Pathology Issues-• Treatment- observation vs excision
<strong>Palpable</strong> <strong>Breast</strong> <strong>Mass</strong>• Final Pathology- specimen handling- time to diagnosis- benign fibroadenoma• Follow-up- PRN vs yearly FU- Positive FHx for breast cancer
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