A 67yo woman has presented with hard, irregular, poorly defined 5cm lump in her right breast.
She has a bruise on the surface and there is no discharge. What is the most likely dx?
a. Fibroadenosis
b. Fat necrosis
c. Fibroadenoma
d. Duct ectasia
e. Ca breast
answer: B
Fat Necrosis
• uncommon, result of trauma (may be minor, positive history in only 50%), after breast surgery
• firm, ill-defined mass with skin or nipple retraction, ± tenderness
• regress spontaneously, but complete imaging ± biopsy to rule out carcinoma
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