Postmenopausal tender breast mass? - 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 04-26-2012
usmledee's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 69
Thanked 122 Times in 63 Posts
Reputation: 132
Question Postmenopausal tender breast mass?

A 55-year-old woman (G5P5) is evaluated in the office for a firm and tender 2-cm mass in the upper outer quadrant of the left breast. No other masses or axillary lymphadenopathy is noted. The patient began menopause at age 49 years. She is otherwise healthy and takes no medications. There is no family history of breast cancer; her mother died of colon cancer at age 72 years. A mammogram is normal.

Which of the following is the most appropriate next step in the management of this patient?
A Breast biopsy
B Radiation therapy and tamoxifen
C Repeat mammogram in 1 year
D Screening for BRCA1 and BRCA2 genes
Reply With Quote Quick reply to this message
The above post was thanked by:
doc_study (04-27-2012), Novobiocin (04-26-2012)



  #2  
Old 04-26-2012
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 239
Threads: 3
Thanked 48 Times in 37 Posts
Reputation: 58
Default

C Repeat mammogram in 1 year
__________________
I'm Predictable In The Unpredictable Future !
Reply With Quote Quick reply to this message
  #3  
Old 04-26-2012
usmledee's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 69
Thanked 122 Times in 63 Posts
Reputation: 132
Default

Quote:
Originally Posted by dryogi View Post
C Repeat mammogram in 1 year
I see you're still sleepy
Reply With Quote Quick reply to this message
  #4  
Old 04-26-2012
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 1,867
Threads: 149
Thanked 2,088 Times in 1,047 Posts
Reputation: 2108
Default

Breast Biopsy (by exclusion) since no other choice is plausible.
Remember, to do a Breast biopsy you do not always have to suspect a malignancy. It can be used to confirm benign conditions and/or rule out malignancy.
Reply With Quote Quick reply to this message
The above post was thanked by:
usmledee (04-26-2012)
  #5  
Old 04-26-2012
usmledee's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 257
Threads: 69
Thanked 122 Times in 63 Posts
Reputation: 132
Default

Correct Answer = A

This patient needs further evaluation of the breast mass despite the normal mammogram; a breast mass should always be completely evaluated and a definitive diagnosis established. Tissue examination is essential for diagnosis and therapeutic management. A tissue diagnosis should be obtained in any woman with a suspicious abnormality on mammogram or with a suspicious palpable mass even if an imaging study is normal. Tissue may be obtained by core biopsy, or a cytology specimen may be obtained by fine-needle aspiration from any suspicious breast mass or abnormal area noted on breast imaging.
Reply With Quote Quick reply to this message
The above post was thanked by:
Novobiocin (04-27-2012)
  #6  
Old 04-26-2012
Ace3's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS
Posts: 735
Threads: 89
Thanked 286 Times in 191 Posts
Reputation: 298
Default

Any hard solid mass ..postmenopausal age.
A Breast biopsy is the answer
Reply With Quote Quick reply to this message
The above post was thanked by:
Novobiocin (04-27-2012)
  #7  
Old 04-27-2012
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 82
Threads: 8
Thanked 114 Times in 49 Posts
Default

Just to add a point,
We do triple assessment to rule out malignancy in a suspicious breast lump.
Clinical exam.
Radiological test (USG or Mammogram)
Tissue sampling or biopsy (FNA, Core or excision )

Sent from my HD2 using Tapatalk
__________________
Will you look back on life and say, "I wish I had," or "I'm glad I did
Reply With Quote Quick reply to this message
The above post was thanked by:
usmledee (04-27-2012)



Reply

Tags
ObGyn-, 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
Postmenopausal bleeding and ovarian mass ktalupur USMLE Step 2 CK Forum 1 10-17-2011 11:01 AM
tender mass in groin aghammoud85 USMLE Step 2 CK Forum 1 08-01-2011 02:31 PM
management of breast mass Seetal USMLE Step 2 CK Forum 8 04-23-2011 12:39 PM
21 Year Old with Breast Mass Maria-Bernat USMLE Step 1 Forum 3 06-27-2010 07:22 AM
Breast Mass Diagnosis Hohepa USMLE Step 2 CK Forum 3 05-17-2010 12:36 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)