A 38-year-old woman is referred to the out patients with pain and non-specific lumpiness in the lower quadrant of her left breast. The pain begins in

Subject
Obstetrics and Gynaecology
System
Female Reproductive System & Breasts

DianaZ

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A 38-year-old woman is referred to the out patients with pain and non-specific lumpiness in the lower quadrant of her left breast. The pain begins in the latter half of her menstrual cycle and then lessens after the first day of menstruation. Examination of her left breast reveals diffuse thickening but no discrete mass. Which one of the following is the most likely pathological diagnosis?

A. Ductal carcinoma
B. Ductal ectasia
C. Ductal papilloma
D. Fibrocystic change
E. Phyllodes tumour

Explanatory Note:
Given her age, pain and the non-specific lumpiness associated with her menstrual cycle the most likely diagnosis is benign fibrocystic change.
 
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