A 62-year-old female presents with a singular, hard, 1 cm, non-tender, non-mobile mass in the right breast. There are no nipple or skin changes, however, you palpate an enlarged right-sided supraclavicular lymph node
The clinician should recognize these are signs of:
A. Fibroadenoma
B. Breast cyst
C. Malignancy
D. Paget's disease
ANS: C
The typical malignant breast mass is solitary, non-tender, hard, immobile or fixed, and poorly defined. It may be accompanied by nipple erosion or other inflammatory skin changes, as seen in Paget's disease; nipple discharge; skin thickening or dimpling; retraction; and palpable axillary nodes. Although most malignant masses are painless, associated discomfort does not exclude the potential for breast cancer.
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