Diagnosis of Breast Disease. VI. Surgical Evaluation of the Breast.

[See Algoritm II, "Evaluation of the Breast for Spontaneous Nipple Discharge"]

[See Algorithm III, "Evaluation of Breast Pain"]

[Repeat mammogram in 6 months See Algorithm IV, Radiologic Evaluation of the Breast]

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Source: Institute for Clinical Systems Improvement (ICSI). Diagnosis of breast disease. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Jan. 47 p. Diagnosis of Breast Disease VI. Surgical Evaluation of the Breast Patient referred to surgeon for evaluation. A Palpable mass. A Spontaneous nipple discharge. A Breast pain. A Abnormal mammogram, ultrasound or MRI Consider imaging prior to aspiration. A Aspirate mass if symptomatic. A See Algoritm II, Evaluation of the Breast for Spontaneous Nipple Discharge See Algorithm III, Evaluation of Breast Pain Suspicious solid mass? Abnormal microcalcifications? Progressive changes? Architectural distortion? A Image-directed biopsy. A Residual mass or bloody aspirate? A Re-examine in 4-6 weeks Image-directed or open biopsy Does mass recur? Repeat mammogram in 6 months. See Algorithm IV, Radiologic Evaluation of the Breast. Lobular neoplasia, ductal hyperplasia with atypia, phylloides tumor, lobular carcinoma in situ (LCIS), papillary lesions Cancer Benign. A Open biopsy. A Definitive therapy. A Return in 6 months for breast examination. A Progression. A Stable, benign or regression A = Annotation Inform patient of next screening date. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.