A 45-year-old female patient presents in the emergency department due to multiple chest injuries as a result of a motor vehicle accident
There is a palpable, tender, irregular 3 cm soft mass located in the left breast, with erythema and swelling of the breast. Which of the following is indicated?
A. Compression wrap for chest and breast trauma
B. Mammogram
C. Re-evaluation following complete resolution of obvious injuries
D. Ultrasound
ANS: B
Trauma to the anterior chest area may result in a palpable breast mass. An automobile accident with injury from contact with the seat belt, air bag, steering wheel, or dashboard is a common source of breast trauma. When a palpable mass results from chest trauma, it typically represents either a hematoma or area of secondary fat necrosis. Even when a mass is identified subsequent to direct trauma, the provider must remain suspicious for the possibility of malignancy that preexisted but was undetected before the accident.
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