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