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?