62 yo woman comes to the physician for a routine health maintenance exam. she feels well. menarche was at the age of 13y, and menopause occurred 19y ago. she has no family hx of breast dz. examination shows a 2x2cm mass in the upper outer quadrant of the l breast. mammography of the l breast shows calcifications in the upper outer quadrant. a biopsy of the breast mass shows invasive estrogen receptor-positive carcinoma with positive margins. which of the following is the most appropriate next step in management?
a. observation only.
b. cytotoxin and doxorubicin therapy.
c. tamoxifen therapy.
d. radiation therapy.
e. reexcision of the biopsy site.

Muscles in the body us with a lot of things for example, if i wanted to lift a heavy box and had no muscle i would just collapse where i was because of the fact muscles hold us together. overall they are 650 muscle in the human body, all of them have different purposes and ways to keep us together. there are three types of muscle in the body skeletal, smooth, and cardiac muscle. skeletal muscle are attached to the bone and with movement. smooth muscle, this is found in the wall of our organs, such as our stomach, this muscle with movement   as well, without this muscle, we would only be allowed to eat small amounts. the cardiac muscle is the heart muscle and probably the most important one. these are only found in the walls of the heart and the heart pump blood to the other parts of your body. we have two different types of muscle fibers, slow twitch and fast twitch. slow twitch muscles enable long-endurance feats such as distance running. fast twitch fatigue faster but are used in powerful bursts of movements like sprinting. there are three different types of muscle contractions concentric, eccentric, isometric. concentric contraction causes muscles to shorten, thereby generating force.   eccentric contractions cause muscles to elongate in response to a greater opposing force. isometric contractions generate force without changing the length of the muscle.: //athleticquickness.com/muscle-contraction-types-part-1/