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Adolescent Fibroadenoma — RACP Paediatrics MCQ

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EasyAdolescent MedicineAdolescent FibroadenomaRACP Paediatrics

A 15-year-old girl presents with a painless breast lump. On examination, it is 3 cm, well-circumscribed, mobile, and rubbery. What is the most likely diagnosis?

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Correct answer: BFibroadenoma

Fibroadenoma is the most common breast mass in adolescent females. It is benign, well-circumscribed, mobile ('breast mouse'), and rubbery. USS is the imaging modality of choice (not mammography). Most can be observed with serial USS. Excision is considered for lesions >5 cm or rapidly growing.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Breast Masses in Adolescents