Skill Checkup: A 56-Year-Old Woman With a History of Breast Cancer and Pain in Her Ribs and Spine

Pavani Chalasani, MD, MPH

Disclosures

January 14, 2022

Although bone scan is also considered in her workup, biopsy is the immediate next step in workup for this patient, especially given her history of breast cancer and palpable mass in the right breast.

Regardless of whether a palpable mass is seen on mammography or imaging, it must be biopsied. This is particularly important for a patient with a history of breast cancer. In most cases, a core needle biopsy should be performed with imaging guidance for evaluation of a suspicious mass.

HR (ie, estrogen receptor and progesterone receptor) status as well as HER2 status are usually confirmed via immunohistochemistry staining of a biopsy specimen, if there is evidence of cancer.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....