Ted Rosen, MD

A 71-year-old woman was receiving a multi-agent chemotherapeutic regimen following a lumpectomy for breast cancer. After the second round of treatment, she presented for medical care due to persistent, intensely painful ulceration of the contralateral breast.

A 29-year-old man, previously in excellent health, presented with a progressively enlarging mass on the lower back of one-year’s duration. What would be the best initial course of action at this point?