Ductal carcinoma in situ Quiz: Ace Your Exams
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A 48-year-old pre-menopausal woman presents to the clinic for follow-up after undergoing a screening mammogram that showed one foci of localized microcalcifications in her left breast. A bilateral diagnostic mammogram confirmed the findings. A core needle biopsy was performed, which revealed ductal carcinoma in situ (DCIS) that tested negative for estrogen receptor (ER-) and progesterone receptor (PR-) and negative for human epidermal growth factor receptor 2 (HER2-). The patient has a history of hypertension. She has no history of DVT, PE, or coagulopathy. She has never smoked and does not drink alcohol. She has no family history of breast or ovarian cancer. BMI is 32 kg/m2. Vital signs are within normal limits. Physical examination is unremarkable. She is anxious about the diagnosis and would like to preserve as much of her breast as possible. Which of the following is the most appropriate next step in management?
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