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Lorie, a 25 year old athlete who is currently training for a triathlon competiti

ID: 67403 • Letter: L

Question

Lorie, a 25 year old athlete who is currently training for a triathlon competition, complained of a painful mass on the upper quadrant of her left breast. She consulted her primary care provider and the mammogram result showed a mass with areas of calcification. A biopsy is done and she is informed that the mass contained necrotic fat cells, macrophages, ad some granulationtissue. What is the possible diagnosis? What is a mammogram? What is its current recommendations for cancer screening? The breast is predominantly composed of what tissue type?

Explanation / Answer

1. The patient can be diagnosed based on the condition to have traumatic fat necrosis caused by trauma to the breast while running and triathlon training. This condition is a localized process identified mainly by necrotic fat cells, foamy macrophages, and granulation tissue formation. It is associated with trauma to the breast or woman with pendulous breasts

2. Mammogram is the image obtained on mammograpgy, which is a breast immaging test using low dose of X-ray to detect changes in the breast due to cancer or traumaor any other condition.

3. Fat necrosis has a low chances of developing into cance. In most of the conditions it heals itself over time, but the mammogarm should be done time to time to check its condition of healing.

4. Breast is predominantly composed of Adipose tissue, Glandular tissue and connective tissue.