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Kaplan Qbank USMLE



Author8 Posts
  #1

9) A 29-year-old woman comes to the physician for follow-up of a right breast lump. The patient first noticed the lump 4 months ago. It was aspirated at that time, and cytology was negative, but the cyst recurred about 1 month later. The cyst was re-aspirated 2 months ago and, again, the cytology was negative. The lump has recurred. Examination reveals a mass at 10 o'clock, approximately 4 cm from the areola. Ultrasound demonstrates a cystic lesion. Which of the following is the most appropriate next step in management?
A. Mammography in 1 year
B. Ultrasound in 1 year
C. Tamoxifen therapy
D. Open biopsy
E. Mastectomy


  #2

D

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  #3

D open biospy

  #4

Must be option D..... I guess..wink

  #5

agree with D

  #6

d

  #7

nod

  #8

D. Open biopsy
I would call it lumpectomy because you cannot cut across the cyst and take only a part of the wall. The cyst must be removed for biopsy, but with minimum of adjucent tissue...

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