An 8-Year-Old Girl Is Brought to the Office Due to a Breast

question 372

Multiple Choice

An 8-year-old girl is brought to the office due to a breast mass.  The mother first noticed the mass when she was helping the patient try on a swimsuit last week.  The mass is tender and located on the right side.  The patient has no chronic medical conditions.  Weight and height are at the 60th and 70th percentile, respectively.  Examination shows a tender, firm, 2-cm mass posterior to the right nipple.  There is no overlying erythema or axillary lymphadenopathy.  Pubic hair development is Tanner stage 1.  Which of the following is the most likely diagnosis?

• A)Fat necrosis
• B)Fibrocystic change
• C)Juvenile fibroadenoma
• D)Lipoma
• E)Mammary duct ectasia
• F)Physiologic thelarche

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Definitions:

Initiating Structure

Leadership behavior characterized by the organization of work, establishment of clear objectives, and the distribution of tasks among team members.

Defines

Defines refers to specifying or explaining the meaning of words, phrases, or concepts.

Prescribes

To recommend or stipulate a specific procedure, remedy, or course of action.

Subordinates

Employees or team members who are lower in rank or position and report to someone higher in the organizational hierarchy.