A 42-year-old woman came to your clinic, anxious about a mass in her left breast.On physical examination, the mass was hard and fixed neither to skin nor to muscle.No axillary lymph nodes were palpated on either side. Mammography showed a 2.5-cm lesion with spiculae. Histo-pathological findings from the biopsy showed an invasive ductal carcinoma. No metastases were detected on chest/abdominal CT or on bone scintigraphy.

What is the most appropriate plan at present?

a. Breast surgery

b. Estrogen administration

c. NSAID administration

d. Observation

e. Whole body irradiation

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問題解説・システム開発 : 内科医 米澤昌紘(れく)