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25-year-old woman with bilateral breast implants and palpable lump in right breast

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Our next patient is a 25-year-old woman

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with bilateral breast implants and

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a palpable lump in the right breast.

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And for this patient, because she's under

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age 30, we're going to start with ultrasound,

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and we would only do a mammogram if it

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was deemed necessary by the radiologist.

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So we started with ultrasound in this patient,

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and you can see that there is a mass here.

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With low-level internal echoes, oval mass,

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the borders are a little bit indistinct.

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You can see the mass and this was what

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was palpable, but the borders may be

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a little irregular, a little indistinct.

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And it's about

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2.1 centimeters in greatest dimension.

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We can also see the implant

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capsule here and implant below.

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And there's some blood flow internally.

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So for this patient, 25-year-old, this is

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most likely going to be a fibroadenoma, but it

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doesn't meet all the criteria for a classic

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fibroadenoma in that the borders

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are not perfectly well-circumscribed.

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So this was recommended for biopsy.

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So this was given a biopsy for

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assessment and ultrasound biopsy was

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recommended, which was subsequently

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performed and yielded a fibroadenoma.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Tags

Women's Health

Ultrasound

Non-infectious Inflammatory

Breast

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