No Skin Changes in Surgery — 45yo Woman | General Surgery | SMLE Q#11023
SMLE Question #11023
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 45-year-old woman notices a painless, rapidly enlarging lump in her left breast for 3 months. Examination shows a firm, mobile, well-circumscribed 2 × 3 cm mass in the upper outer quadrant with no skin changes and no palpable axillary nodes. Core needle biopsy is consistent with a phyllodes tumor without overt malignant features. She is otherwise healthy and prefers breast conservation. What is the most appropriate next step in management?
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