Breast & Endocrine Surgery · NEET PG Preparation Surgery
A 35-year-old female presents with a painless, smooth, mobile, firm lump in the upper outer quadrant of her right breast. Ultrasound reveals a well-c…
Practice question from Breast & Endocrine Surgery (NEET PG Preparation Surgery), with the correct answer and a step-by-step solution.
easy · MCQ · Q-0CD467
A 35-year-old female presents with a painless, smooth, mobile, firm lump in the upper outer quadrant of her right breast. Ultrasound reveals a well-circumscribed, hypoechoic oval lesion with wider-than-tall dimensions. Which of the following is the most appropriate next step in management?
- A.Immediate wide local excision
- B.Core needle biopsy for confirmationCorrect answer
- C.Modified radical mastectomy
- D.Routine reassurance and clinical follow-up
Solution
The clinical presentation and ultrasound findings are classic for a fibroadenoma. Although benign, triple assessment (clinical exam, imaging, and tissue diagnosis) is standard practice. A core needle biopsy is required to definitively differentiate a fibroadenoma from other benign or malignant lesions such as a phyllodes tumor.
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