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  1. #1
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    breat mass, management?

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    28 yrs old female, with a painless mass in LUQ, with + fam his of breast cancer...how do u manage,,dx and treatment?

  2. #2
    Asclepius1's Avatar
    Asclepius1 is offline Ultimate Member 537 points
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    Well, you really need to go see your dr. I had a breast mass a few months back, + fam history as well. I keep putting it off, big mistake, got bigger. I went and had a mammogram and sonogram. It showed fibroadenoma but could not rule out cancer. The recommended a core biopsy that they could do there in the radiology center. However since it was so large, they recommended taking it out and doing the biopsy that way. ( I am very thin, you could see it when you looked at my breast) It was also right on my bra line on the right breast. To make this long story short, everything was fine, and I couldnt be happier that my almost third breast is gone. You should just go see your gyn or a breast specialist. Good luck.

  3. #3
    drtadlaw is offline Newbie 510 points
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    need more data to evaluate your question like type of mass is it tender or nontender . what family history ?? i mean first generation or???

    Any way try to explain hope it will be of help
    if the mass is palapable you first step in managment and treatment is needle aspiration if it is clear and disapper then do followup in 4 to 6 weeks to see if the fluid if the aspiration material is not clear i mean bloddy send to cytology examination to rule out the possibility of itracyctic carcinoma.
    if the mass persist after the aspiration then your next step is excision.
    you can even do ultrasound to distinguish btwn the solid and cyst type of mass
    she have family history for breast cancer so you have to screen her!!!

  4. #4
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    1- it seems she was not asking for herself, so the first reply misunderstod her.
    2- the second reply I think hit the spot.

    FNA is better than ultrasound, because is DX.
    the ultrasound has it limitations, based on Goljan.
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  5. #5
    student-2's Avatar
    student-2 is offline Senior Member 510 points
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    Usually the first step in non suspicious lesions (after breast exam and mammogram- if relevant) is FNA and re-examination after three months. If either cytology or mass persists then do a biopsy for tissue (open etc....).
    Only tissue biopsies can diagnose cancer (as a general rule of thumb) but try to be as least invasive as possible

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