53-year-old woman with palpable lump in right breast
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Our next case is a 53-year-old woman
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with a palpable lump in the right breast.
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So in this case, the patient is 53 years old.
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She's having regular screening mammograms,
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and her last full bilateral screening
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mammogram was over six months ago.
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She has a symptom on one side, so we'll go
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ahead and do a new unilateral right mammogram.
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So that's CC and MLO views.
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So we have MLO view here on the top and
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CC view on the bottom of your screen.
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The triangular skin marker is placed
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over the area of palpable concern.
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And we have some heterogeneously dense
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tissue here, but no obvious abnormality.
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And we'll go ahead and look at
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each of these images in turn with
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tomosynthesis images as well.
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So here's the right CC.
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Just scrolling through, we see
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that sort of uniformly dense.
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Tissue, no obvious mass or abnormality.
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And then we have the MLO view and the
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tomosynthesis view, just scrolling through there.
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And we can see underlying that triangular
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skin marker, nothing really obvious there.
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So we're, um, you know, definitely going to move
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on to ultrasound and, uh, we'll look at that next.
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And here's our ultrasound.
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So, in the area of palpable concern,
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this patient has a cyst, a fluid
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filled cyst there, and it's about
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1.6 centimeters, yeah,
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1.6 centimeters, and there's a second one as well.
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In this case, it may have been that it
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was a little bit close to the nipple or
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something about the surrounding tissue,
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but the borders of this cyst are a little bit
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irregular, mostly smooth and circumscribed,
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but then some irregular borders here.
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So for that reason, we ended up, uh, advising
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assisted aspiration, which was subsequently
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done and this completely resolved with aspiration.
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So this is an example of a palpable mass,
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palpable lump that corresponds to a cyst.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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