A 55-year-old man presents with a painless, firm, irregular lump in the right breast. On examination, there is nipple retraction and axillary lymphade...

Question

A 55-year-old man presents with a painless, firm, irregular lump in the right breast. On examination, there is nipple retraction and axillary lymphadenopathy. He has a strong family history of breast cancer (mother and sister). What is the most appropriate investigation pathway?

Accepted Answer

Triple assessment (Clinical examination, Imaging, Biopsy)

Answer

Mammography only

Answer

Ultrasound breast only

Answer

Genetic testing for BRCA mutations only

Answer

Reassurance and review in 3 months

ukmla MCQ (SBA): Male Breast Cancer

A 55-year-old man presents with a painless, firm, irregular lump in the right breast. On examination, there is nipple retraction and axillary lymphadenopathy. He has a strong family history of breast cancer (mother and sister). What is the most appropriate investigation pathway?