Invasive ductal carcinoma Quiz: Ace Your Exams
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A 53-year-old woman comes to the clinic for a pre-employment medical assessment. The patient has no symptoms and is excited to start her new job. She has a history of diabetes, hypertension, Hashimoto thyroiditis, and atrial fibrillation. Her medications include metformin, candesartan, L-thyroxine, diltiazem, and apixaban. The patient consumes alcohol socially and is a former smoker (10-pack-year history). Her family history is significant for breast cancer in her mother and sister. Temperature is 37.0 °C (98.6 °F), heart rate is 70 bpm regular, respirations are 19/min, and blood pressure is 135/84 mmHg. General examination is unremarkable, breast exam reveals a mass in the lateral lower quadrant of the right breast without palpable lymphadenopathy. Lab work is pending. Diagnostic mammography reveals a 1.2 cm spiculated irregular mass with microcalcifications in the lateral lower quadrant of the right breast. Core needle biopsy confirms the diagnosis of ER+/PR+/HER2- invasive ductal carcinoma. The patient is not concerned with how her breasts will look after surgery. Which of the following is the best next step in management?
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