Painless mass in left breast
Author and Disclosure Information [Show]

Avan J. Armaghani, MD, Assistant Member, Department of Breast Oncology, Moffitt Cancer Center, University of South Florida, Tampa, FL.

Avan J. Armaghani, MD, has disclosed no relevant financial relationships.

Question 1 of 3

A 45-year-old Black woman presents to her ob/gyn for her annual wellness visit, reporting a lump in her left breast that she found during self-examination at home. The mass is painless. Physical exam confirms presence of a bulky, soft, palpable mass in the left breast, which is visible as slight protrusion/edema on the lower outer quadrant of the left breast. Her only other complaint is increased fatigue over the past several months. Her medical history is unremarkable. There is a positive family history of breast cancer — her mother was diagnosed with breast cancer at age 47 years. A diagnostic mammogram reveals a lobulated mass; ultrasound shows a hypoechoic mass with a thick echogenic halo.

What is the next step in the diagnostic process for this patient?

Excisional biopsy


Needle core biopsy


This quiz is not accredited for CME.

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