Question of the Week

For March 12, 2024

A 42-year-old gravida 5, para 4 woman presents at 33 weeks' gestation with a painless breast mass. She breastfed her last child until she found out she was 12 weeks pregnant. She has no personal or family history of breast cancer. She has a 15-pack-year history of cigarette smoking but has not smoked during her pregnancies.

On examination, she has a firm, mobile, 2-cm mass in the right breast at the 6 o’clock position. There are no overlying skin changes and no axillary lymphadenopathy.

What is the most appropriate initial step in evaluation for this patient?

Core biopsy
Mammogram
Deferral of investigation until the patient is postpartum
MRI of the breast
Ultrasound of the breast

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