Lisa's Breast Issue

I'm presenting my patient to the group...

Lisagyn1270

All information and images are posted with her permission. Later we will provide transcripts of her exam and procedures.

Lisa is presenting a lump in her left breast. She has been sent to the radiologist for mammography.

We will update you here

Please ask any questions to either of us here.

Where are the images posted? Any updates?

I was hoping my patient would post here too but I understand her shyness.

Lisa came to the office for a routine well woman breast exam. She reported that she had felt a lump in her left breast recently near her areola.

Upon physical examination a palpable mass was found near the left nipple complex.. About 4 cm deep. The mass felt rough and was fixed. With the patient having her hands behind her head there was retraction of the nipple

More to come...

I referred Lisa for a mammogram as a first diagnostic. She followed up on just a few days. The results were as follows..

https://www.flickr.com/photos/142703197@N02/39331298064/in/album-72157665320942468/

The initial finding was a suspecious palpable mass. Most likely infiltrating ductal carcinoma. Lisa was called back into the office for a core biopsy to confitm the results

Lisa returned to the office in a few days and was of course worried by the findings of the mammogram. I tried to put her at ease explaining that the biopsy woukd help give us a better idea of how we had to pursue this

Lisa removed her blouse and bra and sat up on the exam table and lied back.

https://www.flickr.com/photos/142703197@N02/40041790281/

I palpated the mass again and cleaned the area with alcohol and iodine. After injecting a mild pain killer under the skin near the nipple I prepared the biopsy needle

I would have liked to see how that finished for the patient.