Fibroadenoma of the breast

Case contributed by Jan Frank Gerstenmaier
Diagnosis almost certain

Presentation

This patient felt a lump in her left breast. She attended the triple assessment clinic.

Patient Data

Age: 30 years
Gender: Female

Mammogram

mammography

Both breasts are composed of scattered fibroglandular tissue. In the left breast at the 8 o'clock position, there is a lobular circumscribed high density mass without calcifications. No lymph nodes seen.

mammography

Well-defined mass lesion persists. 

ultrasound

Corresponding to the mammogram, there is a lobulated sharply demarcated mass in the left breast at the 8 o'clock position with a thin echogenic rim (pseudocapsule). The mass is generally hypoechogenic.

Case Discussion

In this case, there are no radiological or clinical red flags and the lesion has typical features of a fibroadenoma. No biopsy required; clinical follow up only. BIRAD 2.

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