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問310 / 400

医師国家試験 第114回 問310

必修問題

A42-year-oldwomancametoyourclinic,anxiousaboutamassinherleftbreast. Onphysicalexamination,themasswashardandfixedneithertoskinnortomuscle. No axillary lymph nodes were palpated on either side. Mammography showed a 2.5-cm lesion with spiculae. Histo-pathological findings from the biopsy showed an invasive ductal carcinoma. No metastases were detected on chest/abdominal CT or on bone scintigraphy. What is the most appropriate plan at present?

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