USMLE-Rx Step 1 Qmax Challenge #4133

Check out today’s Step 1 Qmax Question Challenge.

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A 58-year-old woman presents with a 6-month history of redness, pain, itching, and a burning sensation in her left breast, particularly around the nipple and areola. Her medical history is significant for hypertension, asthma, and untreated fibroadenoma diagnosed at age 22 years. Results of a biopsy specimen from the patient’s left nipple are shown in the image.

Which of the following is the most likely diagnosis?

A. Fibroadenoma
B. Intraductal papilloma
C. Mastitis
D. Paget disease
E. Phyllodes tumor

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