Postgrad Med J 2001;77:473
( July )
Self assessment questions
Palpable breast mass in a lactating woman
M Goyal, T B Poulton, O Konez
Department of
Radiology, Aultman Hospital, 2600 Sixth Street, SW, Canton, Ohio 44710, USA
Correspondence to: Dr
Poulton
chestimagr@aol.com
Submitted 26 April
2000;
Accepted 9 May 2000
| The first 150 words of the full text of this article appear below. |
A 35 year old woman noted a painless lump
in her right breast during self examination. She was three months
postpartum and had been breast feeding her daughter since birth. Her
past medical history included three previous uneventful pregnancies,
each followed by an uncomplicated period of breast feeding. She had no
other significant illnesses in the past. Her mother had died of
postmenopausal breast cancer. She had never been on oral contraceptives.
On examination, there was a mobile, non-tender, firm palpable mass of
about 3 cm in the upper outer quadrant of the right breast, close to
the nipple. There was no swelling or erythema of the overlying skin.
Although the clinical impression favoured a benign breast mass, breast
cancer was also considered.
High resolution ultrasound of the right breast revealed a solid,
predominantly hypoechoic mass with somewhat heterogeneous echotexture.
Some of the margins of the mass were indistinct causing it to . . . [Full text of this article]
