Skill Checkup: A Menopausal Woman With a Lump in Her Right Breast

Pavani Chalasani, MD, MPH


January 18, 2022

The Skill Checkup series provides a quick, case-style interactive quiz highlighting key guidelines- and evidence-based information to inform clinical practice.

A 51-year-old Latina woman, menopausal from age 49, discovered a lump in the upper right quadrant of her right breast. After careful clinical examination, she was referred by her obstetrician/gynecologist to a radiology center for further evaluation. The patient stated that there was no history of breast cancer in any close family members. About 18 months ago, she was prescribed a standard conjugated estrogen preparation (0.625 mg/d) because of severe hot flashes. After 8 months, her dosage was reduced incrementally until the regimen was discontinued. The hot flashes returned, but with lesser severity and frequency.

Except for mild hypertension and occasional flare-ups of carpal tunnel syndrome symptoms, the patient is generally in good health.


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