Breast mass

Triple test
1) physical exam
2) imaging
3) cytology/histology

physical exam

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note and document:

breast symmetry
skin changes (peau d'orange, retraction)
nipple inversion, discharge
tenderness.

mass (size, border, mobility, consistency, location, etc)

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Imaging

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if age > 30 -> mammogram

if age < 30 -> sonar

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Needle aspiration / Core needle biopsy

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Do needle aspiration
-> mass is cyst (fluid is aspirated)
--> if fluid is bloody -> refer to surgeon
--> if fluid is non-bloody AND seen to be completely decompressed on U/S -> follw up
--> if fluid is non-bloody AND the mass is not completely decompressed on U/S -> do core needle biopsy

-> mass is solid (fluid is not aspirated) -> do core needle biopsy

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