Question

An incisional biopsy of a clinically suspicious

malignant lesion fails to support the clinical
diagnosis. The most appropriate management is to
A. reassure the patient that there is no malignancy.
B. contact the pathologist to discuss the case.
C. recall the patient in six months.
D. perform a cytological smear.

Answer 1

It is appropriate to contact the pathologist to discuss a case where an incisional biopsy does not support the initial clinical diagnosis of a malignant lesion. Further examination and potential additional testing may be necessary for an accurate diagnosis.

Step-by-step explanation:

When an incisional biopsy of a clinically suspicious malignant lesion fails to support the clinical diagnosis, the most appropriate management is to contact the pathologist to discuss the case. This ensures a thorough examination of the biopsy, a review of clinical findings, and possibly a re-evaluation of the biopsy sample or additional tests.

The decision for management should not solely rest on an initial biopsy result that is incongruent with clinical findings. Continued monitoring, repeat biopsy, or other diagnostic measures like a cytological smear might be required in such cases. Comprehensive communication between the clinician and the pathologist is critical for accurate diagnosis and patient care.