Q:

A 67 year old woman has presented with hard, irregular, poorly defined 5cm lump in her right breast. She has a bruise on the surface and there is no discharge. What is the most likely diagnosis?

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A 67 year old woman has presented with hard, irregular, poorly defined 5cm lump in her right breast. She has a bruise on the surface and there is no discharge. What is the most likely diagnosis?


  1. Fibroadenosis
  2. Fat necrosis
  3. Fibroadenoma
  4. Duct ectasia
  5. Ca breast

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The key is B. Fat necrosis. [Fat necrosis usually occurs following trauma or surgery. Given case is a fat necrosis of breast as there is no discharge and there is a bruise indicating prior trauma].

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