Approach to breast pain (mastalgia) Quiz: Ace Your Exams
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A 35-year-old woman presents to the OB/GYN clinic reporting a gradually enlarging, moderately tender lump in the right breast that was first noticed two weeks ago. The patient is currently breastfeeding. There is no history of fever, skin changes, abnormal nipple discharge, or recent trauma. Medical history is unremarkable, and prenatal vitamins are the only medication. Family history is negative for breast or ovarian cancer. Temperature is 36.8°C (98.2°F), pulse is 78/min, respirations are 14/min, and blood pressure 116/68 mmHg. On palpation, the right breast has a well-circumscribed, mobile, tender, firm mass without overlying skin changes or nipple abnormalities. No axillary lymphadenopathy is noted. Laboratory results are within normal limits. Which of the following is the best next step in evaluation?
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