Presentation
Palpable lum in the left nipple.
Patient Data
Circumscribed nodule with heterogeneous echogenicity, predominantly hypoechogenic with small hyperechoic foci, and measuring 25 x 7 x 20 mm is identified just below the left nipple.
Procedure: With the patient in supine position, the target nodule was identified by ultrasound. The skin was prepped and draped in usual sterile fashion. Local anesthesia was performed using 1% lignocaine. Under ultrasound guidance, the core biopsy procedure using a 14G true-cut needle was performed, and three fragments were obtained.
Case Discussion
MICROSCOPIC DESCRIPTION: Sections show fibro-adipose breast tissue composed of loose fibro myxoid stroma containing elongate irregular ducts. There is usual ductal hyperplasia present. There is no evidence of atypia, in-situ or invasive malignancy.
DIAGNOSIS: Left breast, core biopsy: Fibroadenoma.