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bilateral Fibroadenoma case presentation-Vaibhav Wavhal
 

bilateral Fibroadenoma case presentation-Vaibhav Wavhal

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Dr. Vaibhav Wavhal, BHU,Varanasi, Uttarpradesh,surgical case presentation, Bilateral fibroadenoma, a breast disease, differential diagnosis, management

Dr. Vaibhav Wavhal, BHU,Varanasi, Uttarpradesh,surgical case presentation, Bilateral fibroadenoma, a breast disease, differential diagnosis, management

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    bilateral Fibroadenoma case presentation-Vaibhav Wavhal bilateral Fibroadenoma case presentation-Vaibhav Wavhal Presentation Transcript

    • Case presentation
      Dr. Vaibhav Wavhal
      JRII, Shalya.
    • Name- Dharmavati Devi
      Age- 22years
      Sex- female
      Address- Baliya, U.P.
      Occupation- House wife
      Social status- lower middle class
      Marital status- married
    • Chief complaints:- duration
      1.Movable lump in both breast 1 year
    • History of present illness
      According to patient, she was asymptomatic before 1 year. Then she gradually developed small movable lump in right breast. After 2 months, she noticed lump in left breast too.
      During the course of disease she neither suffered from fever nor had any pain in same region.
      She had taken conservative treatment from local doctors, but since no relief she came in BHU for better management.
    • History of past illness
      No h/o DM, TB, HTN,BA
      No any H/o drug allergy
      No any operative history
    • Personal history
      Family history- no relevant family history
      Diet- mixed
      Appetite- good
      Bowel- 2 times/day, with normal colour & consistency
      Micturition- no any complaints
      Sleep- not altered
      Addiction- no
    • Personal history……
      Marital history-
      Married at 20 years of age
      Menstrual history-
      4-5 days/28-30days
      Not painful, regular
      No h/o excessive or decreased menstrual flow
      Menstruation does not aggrevates pain in breast lump
    • Physical examination
      GC- Fair
      Temp- Afebrile
      P/R- 76/min
      BP-122/82mm of hg
      No pallor, icterus, cyanosis, clubbing, oedema
      No any palpable lymph nodes
    • Systemic examination
      CNS- NAD
      CVS-NAD
      RS-NAD
      GIT-NAD
    • Local examination
      Inspection-
      No any scar seen
      Nipples- not retracted
      Palpation-
      No rise in local temperature
      No tenderness
      Lump - 2 in Rt breast- upper outer & upper inner quadrant
      Lump- 1 in Lt breast- lower lat. quadrant
      Consistency- firm
    • Local examination……
      All the lumps globular in shape and size
      Lump margins- well defined
      Fluctuation- not present
      Lump tend to slip while palpating with fingers
      Lump not fixed to skin & breast tissues
    • Provisional diagnosis
      B/L fibroadenoma
    • Diffential diagnosis
      Mastitis
      Fibroadenosis
      Cysto-sarcoma phylloids
      Duct papilloma
      CA Breast
      Galactocele
      Traumatic fat necrosis
    • Investigations
      All blood investigations- within normal limits
      FNAC – s/o Fibroadenoma of breast
    • management
      Surgical procedure performed-
      Enucleation of Fibroadenoma was done.
    • Thank you