A 50-year-old woman - malak

[ArchivalUser]

A 50-year-old woman comes to the office for a periodic health maintenance examination. She had her first screening mammogram performed 2 weeks ago and is here for the results. She has no past medical history and no family history of breast cancer. The mammogram demonstrates multiple rounded densities of differing sizes scattered throughout both breasts. There is no architectural distortion and no microcalcifications. The patient has no pain in her breasts and has not noticed any nipple discharge. The most appropriate management for this patient is to
A. arrange surgical consult for biopsy
B. order an MRI of the breasts
C. order screening mammogram 1 year from now
D. reassure the patient that the mammogram is normal
E. send her for ultrasonography of the breasts

[ArchivalUser]

I think an untrasonography would be a sound choice.

[ArchivalUser]

E.....Yes, it is lobular carcinoma in situ......Rx: close monitoring, or trial tamoxifen or prophylactic bilateral mastectomy.