Author Question: A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass in the right ... (Read 26 times)

rmenurse · **on:** Jun 25, 2018

A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass in the right breast. There are no nipple or skin changes, however, you palpate an enlarged right-sided supraclavicular lymph node.

The clinician should recognize these are signs of:
A. Fibroadenoma
B. Breast cyst
C. Malignancy
D. Paget's disease

Question 2

Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the possibility of cancer, the triple test is necessary, which includes:

A. CT scan
B. MRI
C. Biopsy
D. All of the above

jaykayy05 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The typical malignant breast mass is solitary, non-tender, hard, immobile or fixed, and poorly defined. It may be accompanied by nipple erosion or other inflammatory skin changes, as seen in Paget's disease; nipple discharge; skin thickening or dimpling; retraction; and palpable axillary nodes. Although most malignant masses are painless, associated discomfort does not exclude the potential for breast cancer.

Answer to Question 2

ANS: C
Palpation and mammography, alone or together, are inadequate to definitively identify the cause of a breast mass and to rule out malignancy. The triple test recommended for evaluation of a breast mass involves clinical examination, either ultrasound or mammogram, and aspiration and/or biopsy. The determination of whether an ultrasound or mammography is recommended is based on age and other situations.