doc4life
Forum Guru
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A 55-year-old woman has a bloody discharge from her left breast. A mammogram discloses a cluster of microcalcifications 3 cm beneath her left nipple. The next step in her evaluation is
(A) cytologic evaluation of the nipple discharge
(B) fine-needle aspiration under radiologic guidance
(C) CT of the breast and axillary nodes
(D) open biopsy of the left breast
(E) segmental mastectomy
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| tamriko
Forum Elite
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Posts: 296
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B
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| alice8
Forum Guru
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Posts: 643
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A :?:
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| ijoshi1
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D,
this is intraductal ca of breast so gor biopsy
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| dpk
Forum Junior
Topics: 10
Posts: 66
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does anyone know the answer .i still think it should be B.
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| usmledoctor1
Forum Junior
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answer is b
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| dimps
Forum Guru
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ya answer should be B
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| rafaoli
Forum Newbie
Topics: 0
Posts: 16
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Papiloma intraductal is main cause of breast discharge discharge. This is a risk for malignancy especially because the discharge is bloody and this strange forms of microcalcification suggest mailgnancy. Fine needle aspirations gives an inapropriate material in 25% of the cases. With palpable mass, it is suggested surgical biopsy.
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