CASE 701: BREAST TUMOR CASE, Dr PHAN THANH HẢI, Dr JASMINE THANH XUÂN, Dr NGUYỄN KIM HIẾU, Dr VÕ KIM LOAN, Dr NẠI THỊ HƯƠNG NG THOANG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 30 year-old female patient with a 13x17 mm right breast tumor goes through breast ultrasound 3 times.

In the first time, results are tumor BI-RADS 4A, FNAC : Fibrocystic changes.

Second time breast examnination, 14x19 mm tumor

BI-RADS 4A, FNAC , Fibroadenoma.

The third exam results are 12×20 mm,BI-RADS 4C, inhomogeneous hypoechoic with microcalcification, malignant doutfully elastography.

Core biopsy result is invasive breast carcinoma of no special type, grade 2.

Mammography BI-RADS 4 with multiformal collective microcalcification at 11o'clock 3 cm far from nipple.

Lame consultation is Atypical ductal hyperplasia with chemohistoimmunological staining results are P63+, ER + 50%, CK5/6 +.

But Breast MRI thinks about breast tumor BI-RADS 5.

In cancer hospital, guided ultrasound biopsy by VABB removes the 20×24 mm hole tumor.

The last result is Intraductal Papilloma.

The patient remains well after 2 months reexamination.

Conclusion: 

A right breast tumor of the 30 year-old patient raises gradually its size which ultrasound scoring from BI-RADS 4A to 4C. 

MRI BI-RADS 5. Mammography BI-RADS 4. 

FNAC, Core biopsy results are different.

And the last result due to VABB and Chemohistoimmunological staining is Intraductal Papilloma.