Question

24 yo F is evaluated for a breast lump. She has had no breast trauma or discharge from the nipples. Nulliparous and has regular menstrual cycles. Most appropriate test to perform in this patient?

Answer 1

The most appropriate test for a 24-year-old female with a breast lump would be a diagnostic mammogram, accompanied by an ultrasound due to increased breast density in younger women. Additionally, a needle biopsy might be considered for a palpable lump.

Step-by-step explanation:

In evaluating a 24-year-old female with a breast lump and with no history of breast trauma or nipple discharge, the most appropriate initial test would be a diagnostic mammogram. However, due to the increased breast density in younger women, which can make a traditional mammogram less sensitive, an ultrasound might also be used to evaluate the lump more clearly. Additionally, if a lump is palpable, a needle biopsy could be considered to obtain a tissue diagnosis. It is essential for women to perform regular breast self-exams as early detection of breast changes, such as lumps or other subtle changes, can indicate breast cancer. These self-exams help women become familiar with the normal texture and appearance of their breasts, making it easier to recognize any unusual changes.