๐ŸŽ€ Explaining a Diagnosis of Fibroadenoma
High-Yield Notes Full Script

High-Yield OSCE Points ๐Ÿง 

๐Ÿฉบ Set up

๐Ÿค” Understanding & Concerns

๐Ÿ“– Explanation

๐Ÿ’Š Management

โค๏ธ Empathy & Support

๐Ÿ‘‹ Closing

Full Word-for-Word OSCE Script ๐Ÿ“œ

๐Ÿฉบ Introduction

โ€œHi, Iโ€™m [Your Name], a medical student. Iโ€™ve been asked to talk to you about your recent breast clinic visit. Can I confirm your name and date of birth?โ€

โ€œToday, Iโ€™ll explain the results and answer your questions. Is that okay?โ€

๐Ÿ“– Background

โ€œI understand youโ€™ve had a triple assessment for a lump in your breast โ€” and this is your first time being investigated for something like this, is that right?โ€

๐Ÿค” Understanding & Concerns

โ€œCan I ask, what do you already know about the lump?โ€

โ€œDo you have any concerns, particularly about it being cancer?โ€

๐ŸŽ€ What is a Fibroadenoma?

โ€œA fibroadenoma is a benign (non-cancerous) breast lump. It doesnโ€™t increase your risk of cancer.โ€

โ€œItโ€™s like a collection of normal breast tissue thatโ€™s just grown differently โ€” almost like a breast mole. Theyโ€™re most common in younger women under 30.โ€

๐Ÿ”ฌ How was it Diagnosed?

โ€œYouโ€™ve had a triple assessment: a clinical exam, an ultrasound/mammogram, and possibly a biopsy. These confirmed itโ€™s a fibroadenoma.โ€

๐Ÿ› ๏ธ Management Options

โ€œIn most cases, we just monitor it โ€” especially if itโ€™s not causing issues.โ€

โ€œIf it becomes painful, grows, or youโ€™d like it removed, a minor operation is possible.โ€

โค๏ธ Empathy & Support

โ€œHow are you feeling about everything weโ€™ve discussed so far?โ€

โ€œItโ€™s completely normal to feel anxious even when the news is reassuring.โ€

๐Ÿ“Ž Summary & Safety Netting

โ€œSo to summarise, you have a benign fibroadenoma. No treatment is needed unless it causes problems.โ€

โ€œWeโ€™ll give you a leaflet, and if anything changes โ€” like a new lump, pain, or skin changes โ€” please come back.โ€

โœ… Final Check

โ€œJust to make sure Iโ€™ve explained everything clearly, could you summarise in your own words what youโ€™ve understood?โ€

โ€œDo you have any other questions?โ€

โ€œWould you like anyone else to be in the room or speak to someone further?โ€

โ€œThanks very much for your time!โ€