Besides carcinoma, the primary differential diagnosis for a spiculated mass includes postsurgical change, other trauma with hematoma, fat necrosis, infection, and radial scar a complex, spontaneous benign lesion involving ductal prolif-eration, elastosis, and fibrosis. No further imaging is needed. What test should be ordered first? For this reason, regular CBE is important. There is a rounded mass with multiple lobulations and cir-cumscribed borders. Now, were you astute enough to perceive the second le-sion?
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