Breast fibroadenolipoma

Case contributed by Valerio Giacalone
Diagnosis almost certain

Presentation

Palpable lump in the right breast.

Patient Data

Age: 25 years
Gender: Female
ultrasound

Ultrasound examination shows a nodule in the right superior-external periareolar quadrant.

The nodule is inhomogeneously hypoechogenic, oval, the margins are regular and show some linear hyperechogenicity; no vascularity on color-Doppler. Shear-wave elastography score of 3.

Case Discussion

Depending on the age of the patient and the ultrasound features of the nodule, the differential diagnosis included a fibroadenoma or a fibroadenolipoma. The patient underwent removal of the nodule with a final histological diagnosis of fibroadenolipoma.

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