Case 38411

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Abstract
Presentation of CaseA fourteen-year-old girl was admitted to the hospital because of enlargement of the right breast.About eight months before admission the patient first noted that the right breast was slowly and painlessly becoming larger than the left. The breast continued to enlarge slowly and steadily without any associated symptoms until six weeks before admission, when there was an acceleration in the rate of the enlargement, accompanied by some tenderness in the breast and a small amount of clear, yellow discharge from the nipple.Menstruation had not been definitely established, but for the six weeks before admission the . . .