#january2020mccqe1
Carcinoma of the breast is discovered at 22 weeks of gestation in the second pregnancy of a 32-year-old woman. The tumour is 1.5cm in size, is located in the upper outer quadrant of the left breast, and produces dimpling of the overlying skin. A core biopsy has confirmed invasive ductal carcinoma. There are no clinically Suspicious axillary nodes and no evidence of metastases on physical examination or chest imaging. Blood chemistry is normal. Which one of the following is the most appropriate approach to the treatment of this patient?
(A) Treatment should be delayed until the baby is delivered at term
(B) The pregnancy should be terminated and a mastectomy performed two months later
(C) The patient should proceed to definitive surgery
(D) Preliminary local irradiation therapy should be followed by definitive surgery after delivery
(E) Before consideration of mastectomy or other treatment, the response to oophorectomy should be determined
Carcinoma of the breast is discovered at 22 weeks of gestation in the second pregnancy of a 32-year-old woman. The tumour is 1.5cm in size, is located in the upper outer quadrant of the left breast, and produces dimpling of the overlying skin. A core biopsy has confirmed invasive ductal carcinoma. There are no clinically Suspicious axillary nodes and no evidence of metastases on physical examination or chest imaging. Blood chemistry is normal. Which one of the following is the most appropriate approach to the treatment of this patient?
(A) Treatment should be delayed until the baby is delivered at term
(B) The pregnancy should be terminated and a mastectomy performed two months later
(C) The patient should proceed to definitive surgery
(D) Preliminary local irradiation therapy should be followed by definitive surgery after delivery
(E) Before consideration of mastectomy or other treatment, the response to oophorectomy should be determined
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