Breast lumps medical therapy: Difference between revisions

	Breast lumps Microchapters
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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 ultrasound:  refer to surgeon for likely excision
 ==References==
 {{reflist|2}}
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 [[Category:Signs and symptoms]]
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Breast lumps medical therapy: Difference between revisions

Revision as of 14:27, 22 April 2013

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