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Case 49 Continued

BI-RADS 4, Suspicious. Because these masses are both solid and palpable, they are considered suspicious. Both are well-defined, oval, wider than tall and fairly homogeneously hypoechoic. They most likely represent fibroadenomas, but because they are palpable, they are suspicious.

The patient returns on the day of her scheduled biopsy and says "I think I feel a few other lumps." This time, you scan both of her breasts:

Left Breast Case 49 US3:

Right Breast Case 49 US4:

  • Now what do you do?

      a. There are multiple bilateral benign-appearing masses. I would biopsy the most suspicious mass. If that is benign, then they can all be followed with ultrasound.

      b. There are multiple bilateral benign-appearing masses. I would biopsy all of the palpable ones, and follow the non-palpable ones.

      c. There are multiple bilateral benign-appearing masses. I would biopsy all of them.




  • Last update: Wednesday, September 4, 2002 at 1:40:34 PM.