We present a case of a young woman, with no known comorbidities, who presented with bilateral breasts lumps noted 6 months prior to her initial clinic visit. On examination, both breast masses were felt bilaterally. The masses were completely excised, and histopathologic examination confirmed the diagnosis of breast tubular adenoma. This report aimed to present a rare benign breast neoplasm and discuss the challenges in the diagnosis and management of such condition.
retrieval, measured on anteroposterior fluoroscopic images. Secondary outcomes included advanced retrieval techniques and multiple retrieval attempts. Independent variables included age, gender, body mass index (BMI), IVC diameter at placement, filter type, filter hook position relative to the renal veins at the time of retrieval, and dwell time. Associations were determined using student's t-tests, ANOVA, and linear and logistic regressions. A P-value<0.05 was considered significant. Results: At filter placement, mean filter tilt was 6.1 ± 4.9 degrees, and mean IVC diameter was 19.2 ± 3.4 mm. At retrieval, mean filter tilt was 5.2 ± 5.0 degrees, with mean filter tilt change of 5.0 ± 5.0 degrees. Mean dwell time was 140.7 ± 288.8 days. Larger IVC diameter was associated with greater filter tilt change (P ¼ 0.0003), and larger tilt change was associated with increased need for advanced retrieval techniques (OR 1.10, 95% CI 1.03-1.17, P ¼ 0.007) and multiple retrieval attempts (OR 1.20, 95% CI 1.07-1.35, P ¼ 0.002). Age, gender, BMI, filter type, and filter hook position relative to the renal veins were not associated with filter tilt change or need for advanced retrieval techniques (P >0.05). Conclusions: IVC diameter predicts filter tilt change over time, which in turn is associated with challenging filter retrievals. Attention to IVC diameter during filter placement may anticipate tilt-related complications.
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