No Palpable Axillary Nodes in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1173

SMLE Question #1173

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old primigravida at 28 weeks’ gestation reports new bilateral breast lumps for 2 weeks. The lumps are mobile and non-tender. She has no nipple discharge, skin changes, fever, night sweats, or weight loss. There is no personal or family history of breast cancer. Breast examination shows symmetrical, smooth, well-circumscribed rubbery masses (~3 × 4 cm) in the upper outer quadrants of both breasts, with no palpable axillary nodes. What is the most appropriate next step in management?

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