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Monday, 10 April 2017

CASE 427 : POLYCYTIC BREAST, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM


   












  
Woman 27 yo  with history of the left polycystic  breast detecting by herself since April 2016 .
 FNAC reported  nothing  abnormal detected, and she went to Medic for 3 times [each in 3 months]
 with the same result of polycystic left breast without tumor.


















 But now she got pain at left breast and decided to reexamination.

Ultrasound of the left breast in the 4th examnination showed many small simple cysts but one   of them  is biggest
 with  size of 3x 4 cm.  At later time, the biggest cyst with thin wall but  having one   hypervascular 
vegetation mass, size #1.5 cm.



   














 US 1:Big cyst with  fine septation.



   











US 2 :  Small simple cyst.



   














US 3: Intracystic mass.



  












 US  4: CDI  hypervascular mass.


Strain elastography of intracystic mass showed a stiff area (mixed pattern)
which was corresponded with a score of 2 (Tsukuba score).















FNAC again with no abnormal cell,  only red blood cells.




   
Liquide analysis: no  abnormal  of markers  CEA, CA 125, CA 15-3.

  ABVS ( AUTOMATIC  BREAST  VOLUME  SCANNING) shows the  intracystic tumor
  by 3D VIEW.















  Operation for removing this big cyst (see macro).



  












Microscopic report is  benign cyst with  intracystic papilloma.


 

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