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Q92 Single choice

You are seeing a 48-year-old female in followup in your clinic. She originally presented for evaluation of a suspicious nonpalpable lesion in her right breast that was seen on her annual mammogram. A stereotactic core biopsy was done. She now returns to your office to review the results of the pathology report that confirms the presence of lobular carcinoma in situ (LCIS).

How do you counsel her at this time?

A
Tamoxifen can prevent this cancer from spreading but may increase your risk of developing cancer in the other breast.
B
You can consider nonoperative treatment with close observation, annual mammograms, and semiannual clinical examinations.
C
The recommended treatment is a right breast mastectomy.
D
Further staging workup at this time will include a chest x-ray and bone scan.
E
Because you are at such high risk for future cancers, bilateral mastectomies should be performed to prevent this from happening.

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