QuestionSBA
QuestionChoice
This is unlikely as there has been no variation in the symptoms over the patient's menstrual cycle. This presents as bilateral lumpy breasts.
10003238
c
Fibrocystic disease
QuestionChoice
This is the most likely diagnosis. Fibroadenomas are benign fibrous tumours arising from breast lobules that present as small highly mobile firm non-tender round masses.
10003236
a
Fibroadenoma
QuestionChoice
This is unlikely as the patient would be systemically unwell. This presents as a fluctuant painful mass with overlying skin redness and swelling.
10003239
d
Breast abscess
QuestionChoice
This is unlikely as there is no history of trauma. This presents as firm irregular lumps associated with overlying skin bruising.
10003237
b
Fat necrosis
QuestionChoice
While it is important to rule out breast cancer, it is unlikely as the lump is mobile and has not grown. This presents with fixed hard lumps with associated skin and/or nipple changes.
10003240
e
Breast cancer
Concept
Chapter
2693
4130
Fibroadenoma of the breast
Topic
151
Breast Disease
13194
A 25-year-old female presents to her GP with painless breast lumps. These were discovered 2 weeks ago and have moved from the upper to the lower half of the right breast. There has been no change in size, history of trauma or systemic symptoms. There is no significant past medical or family history.

On examination, there are multiple firm, smooth, round lumps, approximately 2cm in diameter, in the right lower breast. There are no skin changes observed, and the left breast is normal.

What is the most probable diagnosis?
a