A 55-year-old woman presents with a breast lump. Mammography shows a spiculated mass with microcalcifications. Core biopsy confirms malignancy. She has no prior history of trauma. What is the most appropriate next step in management?

• A Core needle biopsy ✓
• B Fine needle aspiration cytology
• C Incisional biopsy
• D Trucut biopsy

Explanation

Core needle biopsy is the gold standard for diagnosing breast cancer as it provides tissue architecture, grade, and receptor status (ER, PR, HER2). FNAC only gives cytology and cannot distinguish invasive cancer from DCIS. Incisional biopsy is rarely needed when core biopsy is available. Trucut biopsy is a type of core biopsy, but core needle biopsy is the standard term.

Reference: Bailey and Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.