Invasive ductal carcinoma Quiz: Ace Your Exams
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A 37-year-old woman presents to the clinic for evaluation of a self-palpated mass in the left breast. The patient typically performs bi-monthly self-assessments of the breasts, and this month she felt a firm lump in the upper outer part of the left breast. There is no tenderness associated with the mass, and no nipple discharge or overlying skin changes. The patient has a history of hyperlipidemia, for which she takes a statin. She has no past surgical history. There is no family history of breast or ovarian cancer. Vital signs are unremarkable. Physical examination confirms the finding of a painless firm mass in the upper outer quadrant of the left breast. She is sent for a diagnostic mammogram, which reveals an irregular cluster of calcifications in the upper outer quadrant of the left breast. Which of the following factors, if present, would be most associated with an increased risk of malignancy in this patient?
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