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Old 08-15-2011
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Question Breast Mass in a 17-year-old female!

A 17-year-old female is brought to you by her mother, who is concerned that her child has a "mass" on her left breast. The mother is specifically concerned about breast cancer because her two younger sisters were both diagnosed with breast cancer within the past year. On examination, you note that the daughter has adult-quality pubic hair, and that the "mass" involves the areola and nipple. The contralateral breast demonstrates a normal contour. Which of the following can you offer?
A. Reassurance that this is a normal Tanner stage III
B. A mammogram, given the extensive family history
C. Reassurance that this is a normal Tanner stage IV
D. A breast MRI, given the unilateral nature of the mass
E. A mammogram, to calm the mother
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Old 08-15-2011
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my answer is b
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Old 08-15-2011
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This could be a Fibroadenoma but it is not a precursor to breast cancer. So i would go with E) Mammogram (for the patient) and to calm down the mother!

Although, since its below the areola it could be Intraductal papilloma, but im not sure at what age that occurs and either way, family history would not result in this patient having breast cancer at an earlier age (anticipation).
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Old 08-15-2011
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i would go wid B0.. mammogram cuz pf strong family hist
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Old 08-16-2011
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the correct answer is c tanner stage 4
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Old 09-15-2011
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Quote:
Originally Posted by ricko335 View Post
the correct answer is c tanner stage 4

but she is having family history (screening test for breast ca starts from 50 but she has risk factor so) so why not mammogram ...can you please give further details in answer
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Old 05-07-2012
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for those who answer mammogram.... it is useless befor 30 yrs,,, because there is alot of fat tissues in the breast
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