Q:

A lady with a firm smooth breast lump in outer quadrant had a FNAC done. Results showed borderline benign changes. She also has a family history of breast cancer. What is your next step?

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A lady with a firm smooth breast lump in outer quadrant had a FNAC done. Results showed borderline benign changes. She also has a family history of breast cancer. What is your next step?


  1. Mammography
  2. US
  3. Core biopsy
  4. Genetic testing and counselling
  5. Punch biopsy

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The key is C. Core biopsy. [Genetic testing is done for asymptomatic patients in their 30s but given case is symptomatic. If FNAC was not borderline we could withheld core biopsy in favour of genetic councelling and if positive SERMs are given which cause significant reduction in cancer].

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