A patient presents to the clinic after discovering a lump in her breast. Which finding would alert the nurse to a probable malignancy?
1. The patient reports tenderness with palpation.
2. The skin over the mass is smooth.
3. The mass is readily moved beneath the skin.
4. The borders of the mass are uneven.
4
Rationale 1: Tenderness on palpation is a finding associated with benign masses.
Rationale 2: The skin overlying malignant masses is often irregular or has the appearance of peau d'orange.
Rationale 3: Malignant masses are often fixed to underlying tissue.
Rationale 4: Irregular borders are characteristic of malignancy.
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