Breaking Bad News

Emily is a 28-year-old female presenting with 28 y/o f presenting to clinic to discuss breast biopsy results.. Patient noticed a painless lump in her left breast six weeks ago during a routine self-exam. Diagnostic mammogram and ultrasound two weeks ago showed a 2. 2 cm spiculated mass at the 10 o'clock position, BIRADS 5. You are seeing a 28-year-old woman in clinic to deliver biopsy results showing newly diagnosed invasive ductal breast cancer. Use a structured framework (e.g. SPIKES) to deliver the news compassionately. Address her concerns about prognosis, treatment options, fertility preservation, and support. Plan next steps including oncology referral and staging workup.