October 2006 · Vol. 18, No. 104 Cases that Test Your Skills: Workup for premenopausal breast complaints
Abnormal mammogram, self-palpated lesion, bloody nipple discharge, and inflammation of the breast
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Fast Track
If the lesion is clearly benign on stereotactic biopsy, she may be spared an open biopsy
Definitive diagnosis is a must whenever a mass is palpated, even if the mammogram is normal
Watery discharge is the type of discharge most likely to signal malignancy
Inflammatory breast cancer often involves extensive invasion of the dermal lymphatics
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Vicki
Seltzer,
MDEdie and Marvin H. Schur Professor of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, Vice President for Women’s Health Services, North Shore–Long Island Jewish Health System, and Chairman, Obstetrics and Gynecology, North Shore University Hospital and Long Island Jewish Medical Center
What’s the most common cause of death in women 40 to 44 years of age?
Answer: Breast cancer.1
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