Lumpy
Female Reproductive System & Breast
{"ops":[{"insert":"Clinical Reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Decision 1: the nature of the lump"},{"insert":"\n","attributes":{"header":2}},{"insert":"Breast lumps are a common finding in women of reproductive age. As a general rule of thumb, the younger the patient, the more likely that the lump is benign.\n\nIn Lisa\u0027s case, the lump is small, discrete, highly mobile, and with a smooth surface and clear margins. These findings strongly favor a benign breast lesion. In fact, the high mobility is particularly suggestive of a specific type of lesion: a fibroadenoma.\n\nLisa is distraught. Explaining the nature of the clinical findings is likely to comfort her \u2013 conversely, hiding these findings is unnecessarily cruel. Of course, it is important to emphasize that benign and malignant breast disease cannot be differentiated via clinical findings alone.\nDecision 2: choosing an imaging study"}]}
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