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#20

Figure it out fridays 

0ADE5E7A-B705-45FB-817E-46611D3E5A8F.jpe

30 year old woman presents with breast lump progressively growing for a year, accelerating during pregnancy. No history of trauma, exposure to radiation or family history of similar disease. It was firm, not fixed to muscle or chest wall, friable, and bled to the touch; it had everted edges. The ulcerated areas were covered with slough and produced foul-smelling discharge. What is the most likely diagnosis?

A. Carcinoma of the breast

B. Phyllodes tumor

C. Squamous cell carcinoma

D. Sarcoma of the breast

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