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Old 09-11-2012
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Default Breast mass in elderly

A 62-year-old woman has a 4-cm, hard mass under the nipple and areola of her rather small left breast. The mass occupies most of the breast, but the breast is freely movable from the chest wall. There is no dimpling or ulceration of the skin over the mass, and careful palpation of the axilla is completely negative. A core biopsy of the breast mass has established a diagnosis of infiltrating ductal carcinoma, and the mammogram showed no other lesions in that breast or the other one. A chest x-ray film and liver function tests are normal. She has no symptoms suggestive of brain or bone metastasis. Which of the following should be offered to this woman

A. Lumpectomy only
B. Lumpectomy with axillary sampling and post-op radiation
C. Total mastectomy only
D. Modified radical mastectomy (including axillary sampling)
E. Radical mastectomy (including complete axillary dissection)
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Old 09-11-2012
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Answer D .....:sorry:
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Old 09-11-2012
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ans B ......
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