A 47-year-old female presented to the clinic complaining of a painful lump in her left breast. She has not noticed any nipple discharge, skin changes, or changes in her breast shape. Her mother was diagnosed with breast cancer at 50 years of age. She has recently been through a divorce and has no children. She is a non-smoker and has been previously fit and healthy. The mammogram of the breast is attached. Examination: A 4-cm irregular lump is found adjacent to the nipple in the left breast. The lump is hard in consistency and only mildly tender on palpation.
It is slightly mobile with no tethering of the overlying skin. It does not appear deeply fixed. There are palpable left-sided axillary lymph nodes which are mobile. The right breast and axilla are normal. Abdominal and skeletal examinations are normal. How should this lump be assessed? *This case is from the Editorial team of…
