I'm left with 2 good answers: either B or D!

What's the diagnosis here? Are we thinking about malignancy? Yes-likely!

Let's wait what others think!

Thanks seetal for posting good cases!

 

I'd say B. Conduct a needle-guided biopsy of the breast.

There are signs of potential malignancy here, and so definite diagnosis is needed before proceeding to further management. Excisional biopsy is not appropriate at this point.

 

I agree with Haisook, but isn't the mass too big? I believe that masses more than 2cm require excision instead of needle biopsy is that correct?

http://www.medscape.com/viewarticle/408932_6

 

yes i was thinking excision biopsy too. sorry for posting questions i have no answers too. but what better way for me to be sure of the answers i pick?

 

guys " excisional biopsy".... let the histopathology decide what it was....100% " excisional biopsy"

 

???

blood- 32 year old female? Intraductal papiloma no? is that cancer?

 

ok

Having solitary intraductal papillomas does not increase your risk for breast cancer, unless they are composed of other conditions, such as atypical hyperplasia. If you have multiple papillomas or papillomatosis, your risk for developing breast cancer is slightly increased... I would do a galactogram or us to search for more lesions b4 I biopsy it in a young female without family history.

 

Ohh

didnt notice the node involvment! Yep biopsy D