Question 403 · LEK · Breast cancer

When visiting the primary care unit, a 55-year-old woman told her general practitioner that she could feel some palpable lumpy abnormality, of ca. 3 cm in size, in her right breast. The appropriate management in this case should be:

  1. A. physical examination and ordering a screening mammography (patient aged over 50 years).
  2. B. physical examination and ordering tumour biopsy.
  3. C. issue the DiLO card (cancer diagnostics and treatment card) referring the patient to an outpatient cancer clinic.
  4. D. ordering breast ultrasound.
  5. E. ordering urgent breast MRI (magnetic resonance).
Hint

Under Polish rules, what does a GP issue when cancer is suspected so that the patient enters the fast-track oncology pathway?

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