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Old 07-30-2012
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Question Breast Mass; Feature suggestive of malignancy!

A 45-year-old woman has an abnormal finding in the right breast on clinical exam. Which of the following breast abnormalities has the highest predictive value for malignancy?

a) Bloody nipple discharge
b) Breast skin edema with dimpling
c) Clear nipple discharge
d) Painful, moveable mass
e) Painless, moveable mass
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Old 07-30-2012
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Bbb...peau d orange
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Old 07-30-2012
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Answer is E
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Old 07-30-2012
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my pick.....B.......
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Default B

GO with B
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Old 07-30-2012
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definitely B
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Old 07-30-2012
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I would go with B
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Old 07-30-2012
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bbbbbb is the right answer.
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1st sign goljan says is painless mass, so i go for d
answer plz?
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Old 07-31-2012
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Correct Answer correct answer :)

The answer is b) Breast skin edema with dimpling
Breast skin edema with dimpling resembling an orange peel or pigskin is called “peau d’orange.” This is due to the obstruction of subcutaneous lymphatics by infiltrating ductal carcinoma producing lymphedema. This finding is almost pathognomonic of cancerous involvement of the breast. It is a feature of inflammatory carcinoma.Other physical findings that suggest malignancy are dimpling of the skin on movement of the arms, vascular engorgement overlying the breast, nipple erosions (Paget’s disease), and presence of a mass in a woman older than 50 years of age with painless axillary node enlargement.

As for E) Painless, moveable mass- The most common presenting symptom of breast cancer is a painless, nonmoveable mass that is usually located in the upper outer quadrant of the breast. It is nonmoveable, because the majority are infiltrating cancers that produce a fibrotic response in the tissue.
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