23rd September 2021

A 34-year-old female presents to her GP after noticing a lump in her left breast

A 34-year-old female presents to her GP after noticing a lump in her left breast. She has no past medical or family history. She has recently had breast augmentation surgery for cosmetic purposes. On examination, there is a firm, round mass in the upper quadrant of the left breast and associated skin retraction.

Which of the following symptoms, if present, is a red flag prompting consideration of an alternative diagnosis to the most likely one based on the history above?

Select the SINGLE most appropriate option from the list below. Select ONE option only.