Endocrine System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This middle aged lady has presented with a palpable breast mass. A thorough evaluation is essential to determine if this is malignant or benign in origin.\n\nIn this regard, the \u0027triple test\u0027 of clinical, radiological and histological evaluation allows a definitive diagnosis in almost all cases.\n\nConsidering her history, the only obvious risk factor for breast cancer is nulliparity.\n\nExamination shows the lump to be hard and irregular, features favoring a malignancy; however, the lump is also mobile, which is a point against this. The absence of overlying skin changes and lymphadenopathy is also less in favor of a malignancy.\n\nThus, her clinical evaluation is inconclusive.\n\nImaging should be the next step in her workup. This should always pre"}]}

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