Breast lumps medical therapy: Difference between revisions

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{{Breast lumps}}
{{Breast lumps}}
{{CMG}}
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==Surgery==
=== Recommendations ===
* Women < age 35
*:* If no distinct lump found or primary care physician (PCP) unsure:  refer to breast specialist for 2nd opinion
*:* If non-suspicious lump on exam
*:*:* Reassess 3-10 days after onset of next menses
*:*:* If lump regresses, no further evaluation needed
*:* If lump remains palpable and feels cystic
*:*:* Fine needle aspiration (FNA)
*:*:* Management of bloody vs. non-bloody fluid as above
*:* If lump does not feel cystic
*:*:* Ultrasound
*:*:* If solid mass: FNAB, core biopsy or excisional biopsy
*:*:* If cyst, FNA as above
*:*:* If non-suspicious solid mass < 1 cm: likely fibroadenoma
*:*:* Can follow by physical examination every 3-6 months
*:* Mammography generally not helpful in this age group
* Women age 35 and over
*:* Mammography and ultrasonography (note: mammography has 10-20% false-negative rate)
*:* Cystic mass
*:*:* FNA with mgmt of bloody vs. non-bloody fluid as above
*:* Solid mass
*:*:* Core biopsy, FNAB or excisional biopsy if no suspicious features
*:*:* Excisional biopsy recommended if mass is suspicious by exam or mammogram
*:* No specific findings on mammogram and ultrasoundrefer to surgeon for likely excision
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Physical examination]]
[[Category:Physical examination]]
[[Category:Needs overview]]
[[Category:Needs content]]

Revision as of 14:27, 22 April 2013