Try it
General Surgery · Breast surgery: inflammatory breast cancer
Sample itemA patient has rapidly developing breast enlargement, erythema, peau d'orange, and axillary nodes without improvement on antibiotics. What diagnosis must be considered?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Inflammatory breast cancer
Inflammatory breast cancer can mimic infection but causes rapid diffuse skin edema from dermal lymphatic invasion. Persistent inflammatory breast change requires urgent specialist assessment.
Option by option
A. Galactocele
Galactocele is a milk-retention cyst in lactation.
B. Fibroadenoma
Fibroadenoma is a discrete benign mobile mass.
C. Inflammatory breast cancer (correct)
Correct. Peau d'orange with nodes and poor antibiotic response is concerning.
D. Simple mastitis only
Mastitis should improve with appropriate treatment and is usually linked to lactation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
More General Surgery questions
- HerniaA groin hernia that passes medial to the inferior epigastric vessels through Hesselbach'…
- BurnsA 70 kg adult has burns over 40% of the body surface. By the Parkland formula, what tota…
- HerniaA hernia that enters the inguinal canal through the deep ring, lateral to the inferior e…
- Intestinal obstructionWhat is the commonest cause of small bowel obstruction in adults?