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This Concept Map, created with IHMC CmapTools, has information related to: Reproductive System Case Study 1, Joanie, a 34-year-old woman presents for evaluation of a lump that she noticed in her right breast on a routine self-examination. She says that she doesn't examine herself often, but that she thinks that this lump is new. She has not had any nipple discharge and has no breast pain, although the lump is a bit tender. She has never noticed any masses before and has never had a mammogram. She has no history of breast diseases and has never had a biopsy. There is no history of breast cancer in the family. She takes oral contraceptive pills regularly, but no other medications. She does not smoke cigarettes or drink alcohol. She has never been pregnant. On examination, she is a well-appearing, but somewhat anxious, thin female. Her vital signs are within normal limits. Her general physical examination is normal. Examination of her breasts reveals no skin dimpling or retraction and no nipple discharge. In the lower outer quadrant of the right breast there is a 2-cm, firm, well-circumscribed, movable mass that is mildly tender. No other masses are felt, but the breast tissue is noted to be firm and glandular throughout. No axillary, supraclavicular, or cervical lymphadenopathy is appreciated. suggest What is the next step in evaluation? Group F, Joanie, a 34-year-old woman presents for evaluation of a lump that she noticed in her right breast on a routine self-examination. She says that she doesn't examine herself often, but that she thinks that this lump is new. She has not had any nipple discharge and has no breast pain, although the lump is a bit tender. She has never noticed any masses before and has never had a mammogram. She has no history of breast diseases and has never had a biopsy. There is no history of breast cancer in the family. She takes oral contraceptive pills regularly, but no other medications. She does not smoke cigarettes or drink alcohol. She has never been pregnant. On examination, she is a well-appearing, but somewhat anxious, thin female. Her vital signs are within normal limits. Her general physical examination is normal. Examination of her breasts reveals no skin dimpling or retraction and no nipple discharge. In the lower outer quadrant of the right breast there is a 2-cm, firm, well-circumscribed, movable mass that is mildly tender. No other masses are felt, but the breast tissue is noted to be firm and glandular throughout. No axillary, supraclavicular, or cervical lymphadenopathy is appreciated. suggest What is the recommended follow-up for this patient? Group A, Joanie, a 34-year-old woman presents for evaluation of a lump that she noticed in her right breast on a routine self-examination. She says that she doesn't examine herself often, but that she thinks that this lump is new. She has not had any nipple discharge and has no breast pain, although the lump is a bit tender. She has never noticed any masses before and has never had a mammogram. She has no history of breast diseases and has never had a biopsy. There is no history of breast cancer in the family. She takes oral contraceptive pills regularly, but no other medications. She does not smoke cigarettes or drink alcohol. She has never been pregnant. On examination, she is a well-appearing, but somewhat anxious, thin female. Her vital signs are within normal limits. Her general physical examination is normal. Examination of her breasts reveals no skin dimpling or retraction and no nipple discharge. In the lower outer quadrant of the right breast there is a 2-cm, firm, well-circumscribed, movable mass that is mildly tender. No other masses are felt, but the breast tissue is noted to be firm and glandular throughout. No axillary, supraclavicular, or cervical lymphadenopathy is appreciated. suggest What is the most likely diagnosis of this breast lesion? Group E