479. A 57 year old female presents for second opinion of a left breast lesion that had been diagnosed as ‘eczema’ by her regular nurse practitioner, which briefly improved after a short course of topical steroids. On physical exam there is an erythematous, scaly lesion involving the left breast. Image is shown below. Her last mammogram was a year ago and it was “fine”. She does not report any family history of breast cancer. What is the next step in the patient’s management?
A – Bilateral breast ultrasound
B – Bilateral mammography and punch biopsy of nipple
C – Maintain regular annual mammography appointment
D – Oral corticosteroids
E – Left breast MRI
Filed under: USMLE STEP III QUESTION BANK, USMLE Test Prep Tagged: | archer dermatology, archer general internal medicine, Archer Gynecology, internal medicine board review, USMLE STEP 3 DERMATOLOGY, usmle step 3 gynecology