36-year-old female with a lump in her left breast

 

Images

Doctor's Information

Name : Mojgan
Family :Kalantari
Affiliation : Radiology Department,Mahdieh Hospital ,SBMU
Academic Degree: Assistant Professoe of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Hussein Soleimantabar

 

Case Section

Breast Imaging

 

Patient's Information

Gender : Female
Age : 36

 

Clinical Summary

36-year-old female with a lump in her left breast

 

 

Imaging Findings

MLO and CC views of left breast mammogram show an oval shape homogeneous mass in upper inner quadrant which has relatively smooth and well-defined border. There is no microcalcification or architectural distortion. On ultrasound images the lesion is homogeneously hypoechoic with lobulated but distinct margins, measuring approximately 19*14mm.

 

Differential Diagnosis

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Final Diagnosis

Fibroadenoma

 

Discussion (Related Text)

Fibroadenomas are the most common well-defined solid masses seen on mammography. They are homogenous but frequently show large, coarse calcifications. They may have a lobulated contour, but there are usually only a few large lobulations. If a fibroadenoma is not calcified, it cannot be distinguished from a cyst by mammography. Sonography will allow characterization of fibroadenomas as solid hypoechoic masses. The peak age of patients with clinically detected fibroadenomas is 20 to 30 years; however, fibroadenomas are seen into the eighth decade. They rarely appear or grow after menopause.

 

References

Brant WE, Helms CA: Fundamentals of Diagnostic Radiology, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2007.

 

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