drduck
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An 18 yr old woman has a 2 cm, firm, rubbery mass in the upper outer quadrant of her left breast. It has been present for at least 3 or months. The mass is easily movable , non tender, and otherwise asymtomatic. Which of the following is most appropriate initial step in management?
A) Clinical observation
B) Mammogram
C) Sonogram
D) Incisional biopsy
E) Excisional biopsy
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| multifactorial
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C
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| neuroblastoma
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most appropriate initial step --A observation
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| Ivonne
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The mass has been there for 3 months, i think it requires further work up with US----->C
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| nany
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I'll go for C
...as Ivonne said, it has been there for 3 months, concidered enough observation for me 
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| dr_gladiator
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c???
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| kpmle2
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C) Sonogram
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| drduck
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most of ya got it right........its C.....sonogram
but why not mammogram??
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| nany
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mammogram is not done in this young age
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| RX 135
tormenta
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A
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| RX 135
tormenta
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MAMOGRAOHY AFTER 20
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| Capricious
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rit C
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| Ivonne
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Mammogram at 35 or more if younger the breast tissue is way too dense.
What is the source of mammogram after 20
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| mitmitloo
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if she was > 35 years i would go for mammogram , but in this settings i prefer US
though there is another way since this is a fibroadenoma , you may do an excisional biopsy it both diagnostic + curative
what do you think , let me know
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| prusiner
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I though e. excision biopsy would be the ans.
The patient is young, no family histiry of ca breast, clinically the mass is consistant with fibroadenoma: I would guess that mammogram and usg may not be needed here. Excision bioplsy would be diagnostic and therapeutic.
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| inkspot
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what would US tell you? cystic versus solid? is that the reason you would do it. If the answer is C lets say. then i assume you can not have a clinical diagonsis of fibroadenoma and you need futher workup inorder to reach a diagnosis
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| prusiner
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well considering the age and history ca breast is most unlikely. a nontender movable mass no other complaints is pretty diagnostic for a fibroadenoma. we can confirm the diagnosis with an excision biopsy.
At least thats what i would answer. would like some more clarification tho
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