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Approach to the growing breast lump during lactation
Wen Guang Benson Ang1,2, Mihir Gudi Ananta3, Zhiyan Yan4
1Breast Department, KK Women's and Children's Hospital, Singapore benson.ang@mohh.com.sg.
During pregnancy and lactation, breast lump evaluation is challenging due to increased lumpiness. This case highlights phyllodes tumors, emphasizing prompt diagnosis in lactating mothers.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Pregnancy and lactation induce physiological breast changes, increasing lumpiness and complicating evaluations.
- While most breast lumps during this period are benign, excluding malignancy is crucial for timely intervention.
Observation:
- A case of a phyllodes tumor presenting during lactation is detailed.
- The study addresses diagnostic challenges in lactating mothers, particularly during triple assessment.
Findings:
- Phyllodes tumors can mimic benign conditions in lactating breasts, posing diagnostic difficulties.
- The triple assessment (clinical examination, imaging, and biopsy) may encounter pitfalls in this specific patient group.
Implications:
- Early and accurate diagnosis of breast lumps in lactating women is essential for effective management.
- Understanding these challenges can improve diagnostic accuracy and patient outcomes for breast conditions during lactation.
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