Breast lumps medical therapy: Difference between revisions
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{{Breast lumps}} | {{Breast lumps}} | ||
{{CMG}} {{AE}} {{S.M}} | |||
Management of breast lumps: | |||
*women aged>40 years with palpable mass<ref name="pmid27814822">{{cite journal| author=Harvey JA, Mahoney MC, Newell MS, Bailey L, Barke LD, D'Orsi C et al.| title=ACR Appropriateness Criteria Palpable Breast Masses. | journal=J Am Coll Radiol | year= 2016 | volume= 13 | issue= 11S | pages= e31-e42 | pmid=27814822 | doi=10.1016/j.jacr.2016.09.022 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27814822 }} </ref> | |||
**Diagnostic mammography is considered as the first step | |||
**If the last screening test is related to more than 6 months, both breast mammography is required to rule out occult malignancy | |||
**No further evaluation is needed in case of clearly benign mass in mammography | |||
**Ultrasound imaging is required for the rest of cases appeared in mammography | |||
***Stereotactic biopsy is recommended in negative ultrasound findings addition to suspicious mammographic results | |||
*Women aged<40 years with palpable mass<ref name="pmid25341156">{{cite journal| author=Lehman CD, Lee AY, Lee CI| title=Imaging management of palpable breast abnormalities. | journal=AJR Am J Roentgenol | year= 2014 | volume= 203 | issue= 5 | pages= 1142-53 | pmid=25341156 | doi=10.2214/AJR.14.12725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341156 }} </ref> <ref name="pmid21098212">{{cite journal| author=Loving VA, DeMartini WB, Eby PR, Gutierrez RL, Peacock S, Lehman CD| title=Targeted ultrasound in women younger than 30 years with focal breast signs or symptoms: outcomes analyses and management implications. | journal=AJR Am J Roentgenol | year= 2010 | volume= 195 | issue= 6 | pages= 1472-7 | pmid=21098212 | doi=10.2214/AJR.10.4396 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21098212 }} </ref> | |||
**Ultrasound or mammography is suggested for initial management of women aged between 30 to 39 years | |||
**Ultrasound is the first step for women< 30 years presenting with palpable mass | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 20:13, 12 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Management of breast lumps:
- women aged>40 years with palpable mass[1]
- Diagnostic mammography is considered as the first step
- If the last screening test is related to more than 6 months, both breast mammography is required to rule out occult malignancy
- No further evaluation is needed in case of clearly benign mass in mammography
- Ultrasound imaging is required for the rest of cases appeared in mammography
- Stereotactic biopsy is recommended in negative ultrasound findings addition to suspicious mammographic results
- Women aged<40 years with palpable mass[2] [3]
- Ultrasound or mammography is suggested for initial management of women aged between 30 to 39 years
- Ultrasound is the first step for women< 30 years presenting with palpable mass
References
- ↑ Harvey JA, Mahoney MC, Newell MS, Bailey L, Barke LD, D'Orsi C; et al. (2016). "ACR Appropriateness Criteria Palpable Breast Masses". J Am Coll Radiol. 13 (11S): e31–e42. doi:10.1016/j.jacr.2016.09.022. PMID 27814822.
- ↑ Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.
- ↑ Loving VA, DeMartini WB, Eby PR, Gutierrez RL, Peacock S, Lehman CD (2010). "Targeted ultrasound in women younger than 30 years with focal breast signs or symptoms: outcomes analyses and management implications". AJR Am J Roentgenol. 195 (6): 1472–7. doi:10.2214/AJR.10.4396. PMID 21098212.