Picture Quizzes - Breast Lumps in Young Women (5 to 8) 20/03/24

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5) A 22-year-old woman presents with a lump in her left breast. She indicates that the lump becomes larger and more painful before her periods, and then the symptoms settle after her periods finish. Clinical examination reveals a tender, immobile lump in the left breast. An ultrasound examination is performed (shown). What is the most likely diagnosis?

1 point

A. Metastatic renal cell carcinoma

B. Fat necrosis

C. Cystic papilloma

D. Fibrocystic change

6) A 28-year-old woman presents with a history of breast lumps that developed 3 months into her lactation and that have persisted for more than 9 months. On clinical examination, bilateral lobulated, partly mobile, firm breast lumps are present. A breast ultrasound study was performed, which revealed thick-walled cystic areas that contained mixed echogenic lesions. The diagnosis of galactocele was suspected, but a large dominant lesion in the right breast (shown) raised sufficient clinical concern for a malignancy that a breast magnetic resonance imaging (MRI) study was obtained. Which of the following are predisposing factors for galactocele formation?
*

1 point

A. Pituitary adenoma

B. Augmentation mammoplasty

C. Selective serotonin reuptake inhibitors

D. All of the above

7) A 26-year-old presents with a lump of 4 months’ duration in her left breast that has been gradually increasing in size. A mammogram was obtained, which showed a 3 × 4–cm mass in the 3-o’clock position. The patient underwent an ultrasound study, which revealed a well-defined, irregular cystic lesion with thickened walls and thick echoes inside. The surrounding breast parenchyma was hyperreflective, suggestive of inflammatory changes. A biopsy was performed. What is the most appropriate biopsy technique? *

1 point

A. Ultrasonography guided

B. MRI guided

C. Stereotactic guided

D. Blind

8) A 26-year-old woman who recently finished lactation reports a 1-month history of repeated infections in the right breast. She has undergone multiple courses of antibiotic therapy, but there has been no resolution of her condition. What would be the most appropriate next step?
*

1 point

A. Another course of antibiotics

B. Diagnostic ultrasound examination

C. Incision and drainage

D. MRI

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