JORGE T. DE VERA JR.

MEDIIIA
BREAST MASS ASSIGNMENT
What is/are your clinical impression(s) based on the data provided? Please
support your impression(s).
FIBROADENOMA
SMALL FIBROADENOMAS (1
CM IN SIZE)
LARGER FIBROADENOMAS
(3 CM)
GIANT FIBROADENOMAS (>3
CM)

SCHWARTZ
- It is noted that with the
introduction of
mammographic screening,
asymptomatic
fibroadenomas are
sometimes found in an
OLDER SCREENED
POPULATION.

BATES
Usual Age 1525, usually
puberty and young
adulthood, BUT UP TO
AGE 55
Shape Round,a disclike, or
lobular
Consistency May be soft,
USUALLY FIRM
Mobility VERY MOBILE
Tenderness Usually
NONTENDER

What is your diagnostic work up in this case? Please indicate why you chose a
particular test/ procedure.
MAMMOGRAPHY-

Mammography uses X-rays to produce

an image (mammogram) of suspicious
areas in your breast tissue. A
fibroadenoma usually appears on a
mammogram as a breast mass with
smooth, round edges, distinct from
surrounding breast tissue.
Women 50 to 74 years:
Mammography screening performs best
in this age group, with a
sensitivity of 77% to 95% and specificity
of 94% to 97%.

ULTRASOUND EXAMINATION

REVEAL SPECIFIC FEATURES THAT

ARE PATHOGNOMONIC for
fibroadenoma

ULTRASOUND WITH CORE-NEEDLE

BIOPSY
FINE-NEEDLE ASPIRATION

PROVIDE FOR AN ACCURATE

DIAGNOSIS
Through a thin needle inserted into your
breast, your doctor attempts to withdraw
the contents of the breast lump. IF
FLUID COMES OUT, THE LUMP IS
MOST LIKELY A CYST.

Recommend a treatment plan based on your impression(s).

a. CRYOABLATION AND ULTRASOUND-GUIDED VACUUM ASSISTED

BIOPSY- fibroadenoma of <3 cm.
b. EXCISION- for larger lesions
c. REMAIN PALPABLE,ESPECIALLY THOSE LARGER THAN 2 CM
i. surgical removal
ii. cryoablation
iii. vacuum assisted biopsy
iv. observation.