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29-year-old with palpable mass in left breast

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Our next case is a 29-year-old woman presenting

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with a palpable mass in the left breast.

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So for this patient, since she's 29 years old,

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we started with ultrasound

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for her evaluation of her palpable mass.

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She initially had some signs of infection and

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was treated with antibiotics but didn't improve.

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And then was, um, referred to us for ultrasound.

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Here was the ultrasound of the palpable area of

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concern, which is in the right breast at the

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1 o'clock position, 5 centimeters from the nipple.

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And we can see this hypoechoic heterogeneous

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mass, a little over a centimeter in size,

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1.4 centimeters.

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There it is in radial.

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And then there was another separate mass, um,

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a little bit away from this at the 2 o'clock

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position, a little bit smaller in size.

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And with a lot of vascularity and the

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two masses, you can see them here,

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it looked like there was maybe almost like a

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little connection between the two and the

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whole process was about five centimeters in size.

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25 00:01:12,835 --> 00:01:15,554 So this was, you know, concerning for

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malignancy and a little bit unclear,

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uh, what the underlying etiology was.

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So both of these areas were

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recommended for biopsy.

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So this was considered BI-RADS

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a four, uh, suspicious.

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Um.

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And biopsy was advised using ultrasound,

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and on ultrasound biopsy, this was benign breast

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tissue with poorly formed granulomas and

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associated acute and chronic inflammation

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consistent with granulomatous mastitis.

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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