bilateral fibroadenoma case presentation-vaibhav wavhal
DESCRIPTION
Dr. Vaibhav Wavhal, BHU,Varanasi, Uttarpradesh,surgical case presentation, Bilateral fibroadenoma, a breast disease, differential diagnosis, managementTRANSCRIPT
![Page 1: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/1.jpg)
CASE PRESENTATIONDr. Vaibhav Wavhal
JRII, Shalya.
![Page 2: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/2.jpg)
Name- Dharmavati Devi Age- 22years Sex- female Address- Baliya, U.P. Occupation- House wife Social status- lower middle class Marital status- married
![Page 3: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/3.jpg)
Chief complaints:- duration
1.Movable lump in both breast 1 year
![Page 4: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/4.jpg)
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.
![Page 5: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/5.jpg)
History of past illness
No h/o DM, TB, HTN,BA
No any H/o drug allergy
No any operative history
![Page 6: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/6.jpg)
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
![Page 7: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/7.jpg)
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
![Page 8: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/8.jpg)
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
![Page 9: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/9.jpg)
Systemic examination
CNS- NAD CVS-NAD RS-NAD GIT-NAD
![Page 10: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/10.jpg)
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
![Page 11: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/11.jpg)
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
![Page 12: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/12.jpg)
Provisional diagnosis
B/L fibroadenoma
![Page 13: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/13.jpg)
Diffential diagnosis
Mastitis Fibroadenosis Cysto-sarcoma phylloids Duct papilloma CA Breast Galactocele Traumatic fat necrosis
![Page 14: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/14.jpg)
Investigations
All blood investigations- within normal limits
FNAC – s/o Fibroadenoma of breast
![Page 15: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/15.jpg)
management
Surgical procedure performed- Enucleation of Fibroadenoma was done.
![Page 16: bilateral Fibroadenoma case presentation-Vaibhav Wavhal](https://reader030.vdocuments.site/reader030/viewer/2022020206/5479478ab4af9fda158b479b/html5/thumbnails/16.jpg)
Thank you