#MedicalCase

Fibroadenoma (Obstetrics and Gynaecology)

Dr. Shakti Mishra., B.P.T, M.I.A.F.T, M.I.A.P, M.P.T

 

Medical Case Details:

A female 29 year old, mother of one is diagnosed with fibroadenoma of right side breast. measuring approx 7.9*4.2 mm(BIRADS CAT-111).
What should be the next course of action?

 


    Discussions


    Dr. Jatin Bhatia

    Dear Dr Shakti,

    This fibroadenoma was diagnosed on which imaging modality - Mammogram or USG? Secondly why was the investigation done - as a part of routine screening or patient presented with lump in breast?
    Also please rule out family history especially for breast and ovarian cancer, diagnosed before 50 years of age.
    If the clues point towards a probable malignancy, then kindly consider following
    1. Detailed history and physical examination - with special focus on - lump in breast/ axillary lymph nodes
    2. BIRADS III - refers to probably benign, requiring close follow up, so one option is close observation and repeat imaging after 3-6 months.
    3. If history and examination point towards suspicion for cancer, you can consider biopsy - core biopsy.
    4. If its benign, then a simple follow up with monthly self breast examination is all that is required.

    I hope I have answered your query, kindly feel free to contact for further doubts.

    Regards

    ▲ 1
    08.Jun, 12:37pm

    Dr. Shakti Mishra
    Nutritionist

    Thank you Dr. Jatin,
    It was done for a regular routine check up. And USG of breast was done.
    Will do the needful.

    08.Jun, 02:19pm

    Dr. Jatin Bhatia

    Most welcome.

    You can observe as of now, repeat USG after 3 months, monitor the size, if its increasing get a biopsy.

    Regards

    08.Jun, 02:36pm

    Dr. Shakti Mishra
    Nutritionist

    Sure.
    Will inform the patient.
    Thank you once again.

    09.Jun, 10:29pm

    Dr. Vijay Kumar Kumawat

    Please do regular checkup USG , or take it after 1 month if the size of knot increase then hmgo for confirmation by biopsy.

    11.Jun, 03:57pm

    Dr. Shakti Mishra
    Nutritionist

    Thank you Dr. Vijay.. will convey that

    ▲ 1
    12.Jun, 03:22pm

    Dr. Vijay Kumar Kumawat

    Your welcome Dr Shakti

    12.Jun, 05:25pm

    Dr. Abeer
    General Practitioner

    I want to add to these amazing doctors' plan,if it is benign on biopsy and painful ,surgical excision is an option .

    13.Jun, 01:26am

    Dr. Shakti Mishra
    Nutritionist

    It is not painful though. It has been detected in USG only. No Lump. If situation needs then will go for biopsy or surgery. Thank you Dr. Abeer

    13.Jun, 08:43am



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