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Breast cancer (suspicious mass) — MCCQE Part 1 MCQ

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EasyBreast LumpBreast cancer (suspicious mass)MCCQE Part 1

A 50-year-old woman has a 2cm firm painless lump in the UOQ of the right breast x 6 weeks, unchanged with cycle. No family history. Mammogram: spiculated mass. Most appropriate next step?

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Correct answer: D — Core needle biopsy

Firm painless mass + spiculated mammogram = highly suspicious for malignancy. Core needle biopsy provides histology, receptor status, grading. FNA gives cytology only. Triple assessment: clinical exam + imaging + tissue.

Reference: CPAC Breast Cancer Guidelines