After a normal breast exam, which messaging is appropriate?

• A. Everything seemed normal but they still need regular mammograms as scheduled and cannot tell the patient they do not have cancer, even if normal
• B. Tell them they do not have cancer
• C. Reassure and stop screening
• D. Recommend ultrasound only

Answer: (A)

The main idea is that a normal clinical breast exam does not prove the absence of cancer, and you must communicate the need to continue routine screening. Even when the exam is normal, cancer can be present or develop later, and imaging (mammography) is the appropriate screening tool to continue per guidelines. Therefore, you should acknowledge that the exam was normal but reinforce that regular mammograms are still needed and you cannot tell the patient they do not have cancer. This approach balances honesty about limitations with ongoing preventive care and avoids giving false reassurance.

In practice, this message supports ongoing surveillance and clear next steps, while avoiding implying certainty about cancer status or stopping recommended screening.