Painless Lump in Surgery — 37yo Woman | General Surgery | SMLE Q#1145

SMLE Question #1145

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 37-year-old woman presents to a breast clinic with a painless lump in the upper outer quadrant of her left breast for 3 weeks. Examination shows a 2.5-cm irregular, firm, non-mobile mass with no nipple discharge or skin changes, and no palpable axillary lymph nodes. Breast ultrasound and mammography show a solid suspicious lesion (BI-RADS 4). What is the most appropriate biopsy method to obtain a histological diagnosis?

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