Suspicious Microcalcifications in Surgery — 52yo Woman | General Surgery | SMLE Q#1391
SMLE Question #1391
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 52-year-old woman reports a palpable, non-tender left breast lump for 9 months that has slowly enlarged. Examination shows a firm, irregular, poorly mobile 3-cm mass in the upper outer quadrant and a firm ipsilateral axillary lymph node. Mammography shows a spiculated mass with suspicious microcalcifications and ipsilateral axillary lymphadenopathy (BI-RADS 5). What is the most appropriate next step in management?
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