0:01

So this is another case of an oval circumscribed mass.

0:04

This is a call back from a screening mammogram,

0:06

and we saw this oval circumscribed mass measured up to 1.2 cm.

0:12

And this was appropriately given a BI-RADS 3,

0:16

with a recommendation for a six month follow up.

0:19

So when the patient came back in six months,

0:21

we saw that the mass increased in size.

0:24

So initially, it measured up to 1.2 cm.

0:28

And at the six-month follow up, it measured 1.8 x 1.2 x 2.3 cm.

0:36

This was greater than 20% increase in size over that six months.

0:41

So when we see that increase in size, we want to do a biopsy.

0:45

We wonder, could this be a fast growing cancer?

0:49

Could this be a phyllodes tumor?

0:51

This was recommended for biopsy

0:53

and subsequently underwent an ultrasound-guided biopsy.

0:58

And the pathology showed a cellular fibroepithelial lesion,

1:03

suspicious for phyllodes and is recommended for an excision.

1:08

This is a great example of showing why we're doing that six month follow up.

1:12

So we caught this mass as it was growing.

1:16

It did have an opportunity to grow, but it's still a small mass.

1:21

It would still be something that is easy to remove.