Invasive lobular carcinoma Quiz: Ace Your Exams
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A 68-year-old woman presents to the primary care office for follow-up after an abnormal screening mammogram. She does not have breast pain, nipple discharge, breast lumps or unintentional weight loss. Her family history includes breast cancer in her mother at age 58. Temperature is 37.0°C (98.6°F), pulse is 82/min, respiratory rate is 18/min, and blood pressure is 134/82 mmHg. Chaperoned examination of the breasts reveals a smooth contour to the skin of both breasts without masses, firmness, or areas of asymmetry. There is no adenopathy in the axillae bilaterally. A diagnostic mammogram and ultrasound show a spiculated 2.1 cm mass in the right breast reported as a BI-RADs 5. Which of the following is the next best step in management?
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