16-year-old girl for 6 month follow up of probably benign mass in right breast
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And our next patient is a 16-year-old girl
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who is being seen for six-month follow-up of
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a probably benign mass in the right breast.
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So she had come in with a palpable area
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of concern that was evaluated and either
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declined biopsy or wanted to wait.
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And we agreed to do a six-month follow-up.
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So that's what she's here for now.
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So looking back at the previous
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exam, we see this mass.
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It's labeled at right breast, 1130,
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8 centimeters from the nipple, palpable.
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And we can see this oval hypoechoic mass.
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And it had internal blood flow and measured
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2.4 centimeters in greatest dimension
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by 1.0 by 2.0 centimeters.
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So it's about a two-centimeter mass.
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So she returns at six months for
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follow-up, and this is what we have.
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Now our mass is over four centimeters.
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So this is in, you know,
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a relatively short period of time.
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She was supposed to come back at six months.
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She came back at more like
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10 months, but now the mass is 4.
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3 centimeters by 1.6 by 2.8 centimeters.
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So this is quite a large increase over time.
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And at this point, we're now
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going to recommend biopsy.
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And because it's sort of,
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um, rapidly enlarging, even if we get a
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benign result, we're probably going to suggest
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surgical consultation for possible excision.
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So um, this was recommended for biopsy.
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So it was a BI-RADS 4 and biopsy was performed
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and the result was a cellular fibroadenoma
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and surgical excision was subsequently
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performed, um, with the same diagnosis.
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So no upgrade.
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It was a cellular fibroadenoma,
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but quite rapidly growing.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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