Raja Lautu, a 42-year-old woman, has arrived at the office forher annual gynecologic physical and the results of her annualdigital mammogram. The digital mammogram results reveal a small,abnormal density close to the chest wall on the right breast. Dr.Williams speaks to Ms. Lautu and then schedules an ultrasound todetermine if the density is fluid-filled or solid. The right breastultrasound reveals a solid mass close to the chest wall. Since themass is solid, the physician orders a right stereotacticfine-needle breast biopsy, which reveals a grade II infiltratingductal carcinoma (IDC).
How often should Raja have a pelvic exam, cervical cytology, HIVscreen, and mammogram? What should have been discussed with Rajabefore she had the mammogram? How is stereotactic fine-needlebiopsy performed?
