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A 43-year-old woman hits her breast with a broom handle while doing her housework. She noticed a lump in that area at the time, and one week later the lump is still there. She has a 3-cm hard mass deep inside the affected breast, and some superficial ecchymosis over the area.

What is the most likely diagnosis?
 

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Any lumpy-bumpy mass found in a middle aged woman should raise suspicion about breast cancer, until proven otherwise. The mass may well have had been there for some time but have passed unnoticed, till the accident with the broom. Nevertheless, she has to seek medical advice in order to undergo the proper diagnostic procedures.
 
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