Calcified mass in mammography - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 12-01-2011
drnrpatel's Avatar
Guest
 
Steps History: 1+CK+CS
Posts: 441
Threads: 153
Thanked 394 Times in 211 Posts
Reputation: 417
Question Calcified mass in mammography

A 51-year-old woman returns to clinic for a follow-up visit. You recently sent her for a routine mammogram, which shows a small, calcified mass that the radiologist labels as “probably benign finding—short-interval follow-up suggested.” The patient is extremely concerned because, although no one in her family has breast cancer, a close friend recently died of it. Breast examination reveals no abnormalities, and her physical examination is normal. Which of the following is the most appropriate course of action?

A. Excisional biopsy
B. Diagnostic mammogram
C. Screening ultrasound in 1 to 2 years
D. Serial breast exams
E. Ultrasound of breast
Reply With Quote Quick reply to this message
The above post was thanked by:
bebix (12-02-2011), surez18 (12-02-2011)



  #2  
Old 12-01-2011
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 26
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

A Excisional biopsy
Reply With Quote Quick reply to this message
  #3  
Old 12-02-2011
jaimin's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 264
Threads: 15
Thanked 98 Times in 56 Posts
Reputation: 108
Default

A. Excisional biopsy
Reply With Quote Quick reply to this message
  #4  
Old 12-02-2011
USMLE Forums Master
 
Steps History: Step 1 Only
Posts: 537
Threads: 80
Thanked 342 Times in 138 Posts
Reputation: 374
Default

D. Serial breast exams?
Reply With Quote Quick reply to this message
  #5  
Old 12-02-2011
surez18's Avatar
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 208
Threads: 30
Thanked 183 Times in 74 Posts
Reputation: 193
Default

i ll go wid ultrasound breast..
option E
Reply With Quote Quick reply to this message
  #6  
Old 12-02-2011
bebix's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,357
Threads: 194
Thanked 3,259 Times in 881 Posts
Reputation: 3269
Default

routine mammogram (craniocaudal & mediolateral oblique view) = probably benign finding?

B. Diagnostic mammogram first and then A. excisional biopsy
Reply With Quote Quick reply to this message
  #7  
Old 12-02-2011
drnrpatel's Avatar
Guest
 
Steps History: 1+CK+CS
Posts: 441
Threads: 153
Thanked 394 Times in 211 Posts
Reputation: 417
Default

The correct answer is B. Breast masses, or abnormalities found on a screening mammogram, require further imaging. A diagnostic mammogram, as opposed to a screening mammogram, involves spot compression and magnification views. While it will better quantify the identified mass, it also serves to evaluate both breasts for occult lesions that may previously have been missed.
Excisional biopsy (choice A) is used to remove a mass suspicious for cancer, and is a fairly invasive procedure that leaves a scar. Unless further imaging evidence points toward a malignancy, excisional biopsy is not warranted.
Regular screening ultrasounds on a routine schedule (choice C) are recommended for patients over age 50. However, this woman needs a diagnostic, not a screening, mammography, given the radiographic abnormality noted on her current exam. Given her anxiety, and the mass that cannot be ruled out for malignancy, she should be followed up sooner than in 1 to 2 years.
Serial breast exams (choice D) have not been proven to reduce breast-cancer mortality. While they are recommended, they are a form of screening. This woman is already known to have a breast mass.
Ultrasound (choice E) is sometimes used as an adjunct imaging study to determine whether a mass is cystic or solid, but is rarely the imaging study of choice in patients over the age of 40.
Reply With Quote Quick reply to this message
The above post was thanked by:
MANIAKOS (12-03-2011), sonu.agarwall (12-03-2011)



Reply

Tags
ObGyn-, Radiology-, Step-2-Questions, Surgery-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
calcified medium sized artery in pelvic region menatallah Elgohary USMLE Step 1 Forum 3 11-13-2011 07:21 AM
Where to auscultate for this calcified valve? scopusmount USMLE Step 1 Forum 5 11-03-2011 05:02 PM
Can you locate this abdominal mass? ricko335 USMLE Step 1 Forum 15 09-08-2011 12:53 PM
posterior fossa mass aghammoud85 USMLE Step 2 CK Forum 3 08-01-2011 05:34 PM
tender mass in groin aghammoud85 USMLE Step 2 CK Forum 1 08-01-2011 02:31 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)