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Subjects/Surgery/Breast
Breast
medium
scissors Surgery

A 45-year-old woman presents with a 2 cm hard, irregular breast lump in the upper outer quadrant with skin dimpling. FNAC shows malignant cells. What is the most appropriate next step?

A. Core needle biopsy for receptor status
B. Immediate mastectomy
C. Start chemotherapy
D. Mammography of opposite breast

Explanation

After FNAC confirms malignancy (C5), a core needle biopsy is the most appropriate next step to determine ER, PR, HER2 receptor status and histological type. This is essential for planning neoadjuvant vs adjuvant therapy.

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