Breast lumps medical therapy

Breast lumps Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Breast lumps from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Breast lumps medical therapy On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Breast lumps medical therapy All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Breast lumps medical therapy
on Breast lumps medical therapy
Breast lumps medical therapy in the news
Blogs on Breast lumps medical therapy
Directions to Hospitals Treating Breast lumps
Risk calculators and risk factors for Breast lumps medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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 ultrasound: refer to surgeon for likely excision

References

Template:WikiDoc Sources