Question 115 (part 2) · LEK · Breast cancer
On physical examination a 52-year-old female had a painless, hard, barely mobile lump of 1cm in diameter detected in the upper external quadrant of the left breast. The gynaecologist ordered and immediate ultrasound and described the mass as BI-RADS 5 :
- A. urgent mastectomy with complete axillary lymphadenectomy.
- B. a fine needle aspiration biopsy under ultrasound guidance.
- C. local lump excision under local anaesthetic.
- D. breast MRI, histopathological examination is not indicated.
- E. a core needle biopsy of the lump.
Hint
BI-RADS 5 means very high suspicion of malignancy — what is required before any definitive oncological treatment?
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