A 60 year old lady comes with blood stained discharge from the nipple with family history of breast cancer. Next best step for her will be
Ductoscopy
Nipple discharge cytology
Sono-mammogram
MRI
Ans. (d) MRI(Ref Schwart 10th edition Page 527)* Mammography - IOC for women >35 years* Mammography - IOC for Screening purpose* MRI- IOC for screening in High risk Women* Mammography - IOC for detecting Ductal carcinoma In-situ lesions* Mammography - IOC to detect Micro calcifications (Which is the only feature for DCIS)* USG - IOC for women <35 years* MRI - IOC for Implanted breasts* MRI - IOC for doing Breast Conservative surgery in Cancer breast* MRI - IOC for Scarred breast* PET scan - IOC for detecting local and distant recurrences
Breast