Materiały źródłowe

• #1 Suspicious breast lumps – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/symptoms-causes/syc-20352786

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: […] There is a problem with information submitted for this request. Review/update the information highlighted below and resubmit the form. […] See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Some conditions that cause breast lumps may lead to other health concerns, also called complications. The complications depend on the type of breast lump that you have. […] Other breast conditions that are not cancer still can raise the risk of breast cancer later on. […] If you have a breast condition that raises the risk of cancer, it doesn’t mean that you’ll definitely get breast cancer. Ask your healthcare professional what the risk means for you and whether you can make lifestyle changes to lower it.

• #2 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: The lump is new and feels firm or fixed. The lump doesn’t go away after 4 to 6 weeks. Or it has changed in size or in how it feels. […] A breast lump that’s painless, hard, has irregular edges and is different from the breast tissue around it might be breast cancer. The skin covering the lump may thicken, change color or look red. There also may be skin changes such as dimpled or pitted areas that look like the skin of an orange. Your breast size and shape may change. You may notice fluid leaking from the nipple, or the nipple may turn inward. The lymph nodes under the arm or near the collarbone might be swollen.

• #3 Breast Lumps: Types, Benign, Moveable, Causes & Diagnosis

  https://my.clevelandclinic.org/health/symptoms/6906-breast-lumps

  A breast lump is a mass or growth that develops in your breast. While a breast lump can be a sign of breast cancer, its usually benign (not cancerous). In fact, 8 out of 10 breast lumps are noncancerous. If you feel a lump in your breast or under your arm, try not to panic. A healthcare provider can figure out the cause of the breast lump and determine if you need tests or treatment. […] Breast lumps are one of the symptoms of breast cancer. But, often, breast lumps arent cancerous. Several other conditions can cause breast lumps. […] Talk to your healthcare provider if you notice a breast lump. If it is cancer, treatment is more successful when started early. […] If you feel a lump or anything unusual in your breast, see a healthcare provider. […] Treatment for a breast lump depends on the cause. Some lumps dont require any treatment.

• #4 Breast lump Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/breast-lump

  A breast lump is swelling, growth, or mass in the breast. […] Breast lumps in both men and women raise concern for breast cancer, even though most lumps are not cancer. […] See your provider if you have any new lumps or breast changes. Ask about your risk factors for breast cancer, and screening and prevention for breast cancer. […] Contact your provider if: The skin on your breast appears dimpled or wrinkled (like the peel of an orange). […] You find a new breast lump during self-exam. […] Your provider will get a complete history from you. […] Steps your provider may take next include: Ordering a mammogram to look for cancer, or a breast ultrasound to see if the lump is solid or a cyst. […] How a breast lump is treated depends on the cause. […] If you are diagnosed with breast cancer, you will discuss your options carefully and thoroughly with your provider.

• #5 New Palpable Breast Mass – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK560757/

  Although the majority of these masses are associated with benign breast conditions, patients with palpable breast masses have an increased likelihood of having a breast malignancy. […] Therefore, appropriate evaluation of any patient with a palpable breast mass is essential to optimizing outcomes. […] Consequently, in-depth knowledge of the diagnostic pathway for a palpable breast mass is essential, as a systematic approach incorporating clinical, imaging, and biopsy evaluations ensures timely and accurate management. […] The primary risk factor for developing breast cancer is excess exposure to estrogens. […] Therefore, clinicians should inquire about lifetime estrogen exposure in all patients presenting a new breast mass. […] The management recommendations for breast masses categorized as BI-RADS 2 to 5 are similar in women of all ages.

• #6 Breast Lump: Types, Causes, How to Check Them & Treatment

  https://www.nationalbreastcancer.org/breast-lump/

  A breast lump is a mass, growth, or swelling within the breast tissue. While finding a lump in your breast can be concerning, it is important to remember that the majority of breast lumps are not breast cancer. There are many conditions that may cause benign (non-cancerous) breast lumps. However, all breast lumps should be investigated by a healthcare professional. […] While breast lumps should be checked and monitored by a healthcare professional, it is important to note that the absence of a noticeable breast lump does not mean breast cancer cannot or has not developed. Beginning at age 40, all women should receive an annual mammogram, and women over the age of 18 should perform a monthly breast self-exam. […] As a general rule, any new breast lump or breast change should be checked by a healthcare professional. Please schedule an appointment with your provider if you notice anything different or a change in your breasts, including but not limited to: The discovery of a new breast lump, whether painful or not painful. […] All breast lumps or changes should be reported to your doctor!

• #7 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: The lump is new and feels firm or fixed. The lump doesn’t go away after 4 to 6 weeks. Or it has changed in size or in how it feels. […] A breast lump that’s painless, hard, has irregular edges and is different from the breast tissue around it might be breast cancer. The skin covering the lump may thicken, change color or look red. There also may be skin changes such as dimpled or pitted areas that look like the skin of an orange. Your breast size and shape may change. You may notice fluid leaking from the nipple, or the nipple may turn inward. The lymph nodes under the arm or near the collarbone might be swollen.

• #8 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: The lump is new and feels firm or fixed. The lump doesn’t go away after 4 to 6 weeks. Or it has changed in size or in how it feels. […] A breast lump that’s painless, hard, has irregular edges and is different from the breast tissue around it might be breast cancer. The skin covering the lump may thicken, change color or look red. There also may be skin changes such as dimpled or pitted areas that look like the skin of an orange. Your breast size and shape may change. You may notice fluid leaking from the nipple, or the nipple may turn inward. The lymph nodes under the arm or near the collarbone might be swollen.

• #9 What To Do If You Suspect A Breast Lump? | Sri Ramakrishna Hospital

  https://www.sriramakrishnahospital.com/blog/oncology/what-to-do-if-you-suspect-a-breast-lump/

  A breast lump is a mass of extra tissue that grows in your breasts. When you find a breast lump it can be scary and can make you feel anxious. Most lumps in the breasts aren’t dangerous, but it is important to see your doctor right away to have them examined. […] A lump in the breast that isn’t painful, is hard, has an odd shape, and is different from other breast tissues could be breast cancer. The skin on top of the lump may be red, bumpy, or have holes like the skin of an orange. You may notice a change in the size and shape of your breasts or a leak from the nipple. […] Talk to your doctor if you feel a lump in your breast. When cancer is caught early, seeking immediate breast cancer treatment in Coimbatore, can help overcome cancerous tumors. […] Some lumps just go away on their own. People who are younger may get lumps because of their period. At the end of the cycle, those bumps go away. But if you find a lump, you should always tell your doctor. Your doctor can figure out what’s causing the lump and decide if more tests or treatment are needed.

• #10 Suspicious breast lumps – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/diagnosis-treatment/drc-20562275

  Diagnosis of a breast lump involves getting an exam and possibly tests to find out the cause of the lump. […] You’ll likely need one or more imaging tests to check for changes in the breasts. […] If these tests show that your lump is not cancer, you might need follow-up appointments. […] If imaging tests don’t help diagnose the lump, your healthcare professional might take a sample of cells for lab testing. This is called a biopsy. […] Whichever type of biopsy you have, your healthcare professional sends the tissue samples to a lab to be checked by a pathologist. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. […] Our caring team of Mayo Clinic experts can help you with your suspicious breast lumps-related health concerns.

• #11 Breast Lumps: Imaging Tests and Treatment

  https://www.radiologyinfo.org/en/info/breastlumps

  A breast lump is a mass that develops in the breast. […] Your doctor will likely perform a physical exam to evaluate a breast lump. […] If the lump is confirmed to be benign, no further action may be needed, but your doctor may want to monitor it to see if it changes, grows or disappears over time. […] If the tests are inconclusive, a biopsy using ultrasound, x-ray or magnetic resonance imaging guidance may be performed. […] If a lump is proven to be cancer, surgery is usually performed. […] You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy. […] One of the following radiation therapy treatments may be used after surgery to ensure any microscopic cancer cells are eliminated: External Beam Therapy, Intensity-Modulated Radiation Therapy (IMRT), Brachytherapy (Interstitial Therapy).

• #12 Palpable Lump – Radiology | UCLA Health

  https://www.uclahealth.org/departments/radiology/education/breast-imaging-teaching-resources/how-work-up-patient-with/palpable-lump

  Palpable breast lumps can cause anxiety for patients. Most palpable breast lumps are benign. However, a new palpable breast mass is also a common presenting sign of breast cancer. In almost all cases, imaging evaluation is necessary to characterize the palpable lesion. Recommended imaging options include diagnostic mammography and targeted breast ultrasound (US). The choice of modality is dependent on patient age and degree of radiologic suspicion. Any highly suspicious mass detected by imaging or palpation should undergo core biopsy with image guidance (US, stereotactic, tomosynthesis, or MRI) unless contraindicated. […] Diagnostic mammography (DM) is indicated for women 30 years of age who present with a palpable lump. If a clearly benign correlate for a palpable finding can be identified on DM, no further imaging may be indicated with appropriate clinical follow-up. If an imaging correlate is identified that is not clearly benign or the DM is negative, targeted US should be performed. Additionally, digital breast tomosynthesis (DBT) can address some of the limitations encountered with standard DM views. DM or DBT may also be helpful for women ages 30 to 39 with palpable lumps and women younger than 30 with palpable lumps and suspicious findings on US.

• #13 If You Find a Lump in Your Breast, Here’s What To Do Next | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/if-you-find-lump-your-breast-heres-what-do-next

  Medical oncologist Dr. Janice Shen says an important first step after detecting a breast lump is getting a thorough physical exam from a specialist. […] Dr. Shen stresses the importance of getting a good physical exam from either your primary doctor or gynecologist. That means your doctor should do more than just feel the lump in your breast. Make sure they do a thorough exam of the breast, including feeling around the collarbone and underneath the armpit, she says. […] Based on your physical exam, age, and your risk of breast cancer, your doctor will help determine if breast imaging may be appropriate for you, Dr. Shen says. […] In many cases, doctors can tell from a mammogram that a breast lump appears benign. Sometimes, though, doctors may need to do a biopsy to confirm that a lump is benign. A biopsy is usually performed by a radiologist, who will insert a needle into the breast to take a sample of the lumps cells.

• #14 If You Find a Lump in Your Breast, Here’s What To Do Next | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/if-you-find-lump-your-breast-heres-what-do-next

  Medical oncologist Dr. Janice Shen says an important first step after detecting a breast lump is getting a thorough physical exam from a specialist. […] Dr. Shen stresses the importance of getting a good physical exam from either your primary doctor or gynecologist. That means your doctor should do more than just feel the lump in your breast. Make sure they do a thorough exam of the breast, including feeling around the collarbone and underneath the armpit, she says. […] Based on your physical exam, age, and your risk of breast cancer, your doctor will help determine if breast imaging may be appropriate for you, Dr. Shen says. […] In many cases, doctors can tell from a mammogram that a breast lump appears benign. Sometimes, though, doctors may need to do a biopsy to confirm that a lump is benign. A biopsy is usually performed by a radiologist, who will insert a needle into the breast to take a sample of the lumps cells.

• #15 Common Breast Problems | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0415/p505.html

  Documentation of a mass found on CBE should include size, consistency, distance from the areolar edge, and circumferential position on the breast. […] Because of the imperfect sensitivity and specificity of CBE and imaging, patients should be referred for tissue sampling if suspicious findings are noted at any stage of the evaluation, regardless of benign findings at other stages. […] A highly suspicious breast mass found on CBE should be biopsied regardless of imaging findings, and suspicious masses on imaging should be biopsied even if the CBE suggested benign findings. […] In most cases, a core needle biopsy should be performed for evaluation of a suspicious mass. […] Compared with fine-needle aspiration, core needle biopsy has superior sensitivity, specificity, and ability to detect possible malignant invasion.

• #16 Common Breast Problems | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0415/p505.html

  Palpable breast masses, mastalgia, and nipple discharge are commonly encountered symptoms in outpatient practice, causing significant patient anxiety and precipitating medical consultation. […] Women presenting with a breast mass will require imaging and further assessment to exclude cancer. […] Any suspicious mass detected on physical examination, mammography, or ultrasonography should undergo biopsy. […] In most cases, a core needle biopsy should be performed with imaging guidance for evaluation of a suspicious mass. […] Breast masses are associated with an increased risk of breast cancer. […] Patients presenting with a palpable breast mass should be evaluated with a detailed history, clinical breast examination (CBE), and, for almost all women, imaging. […] Although CBE has poor predictive value for determining whether a breast mass is cancerous, some features of breast masses may help distinguish between benign and malignant lesions.

• #17 If You Find a Lump in Your Breast, Here’s What To Do Next | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/if-you-find-lump-your-breast-heres-what-do-next

  Medical oncologist Dr. Janice Shen says an important first step after detecting a breast lump is getting a thorough physical exam from a specialist. […] Dr. Shen stresses the importance of getting a good physical exam from either your primary doctor or gynecologist. That means your doctor should do more than just feel the lump in your breast. Make sure they do a thorough exam of the breast, including feeling around the collarbone and underneath the armpit, she says. […] Based on your physical exam, age, and your risk of breast cancer, your doctor will help determine if breast imaging may be appropriate for you, Dr. Shen says. […] In many cases, doctors can tell from a mammogram that a breast lump appears benign. Sometimes, though, doctors may need to do a biopsy to confirm that a lump is benign. A biopsy is usually performed by a radiologist, who will insert a needle into the breast to take a sample of the lumps cells.

• #18 Suspicious breast lumps – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/diagnosis-treatment/drc-20562275

  Diagnosis of a breast lump involves getting an exam and possibly tests to find out the cause of the lump. […] You’ll likely need one or more imaging tests to check for changes in the breasts. […] If these tests show that your lump is not cancer, you might need follow-up appointments. […] If imaging tests don’t help diagnose the lump, your healthcare professional might take a sample of cells for lab testing. This is called a biopsy. […] Whichever type of biopsy you have, your healthcare professional sends the tissue samples to a lab to be checked by a pathologist. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. […] Our caring team of Mayo Clinic experts can help you with your suspicious breast lumps-related health concerns.

• #19 Palpable Lump – Radiology | UCLA Health

  https://www.uclahealth.org/departments/radiology/education/breast-imaging-teaching-resources/how-work-up-patient-with/palpable-lump

  Palpable breast lumps can cause anxiety for patients. Most palpable breast lumps are benign. However, a new palpable breast mass is also a common presenting sign of breast cancer. In almost all cases, imaging evaluation is necessary to characterize the palpable lesion. Recommended imaging options include diagnostic mammography and targeted breast ultrasound (US). The choice of modality is dependent on patient age and degree of radiologic suspicion. Any highly suspicious mass detected by imaging or palpation should undergo core biopsy with image guidance (US, stereotactic, tomosynthesis, or MRI) unless contraindicated. […] Diagnostic mammography (DM) is indicated for women 30 years of age who present with a palpable lump. If a clearly benign correlate for a palpable finding can be identified on DM, no further imaging may be indicated with appropriate clinical follow-up. If an imaging correlate is identified that is not clearly benign or the DM is negative, targeted US should be performed. Additionally, digital breast tomosynthesis (DBT) can address some of the limitations encountered with standard DM views. DM or DBT may also be helpful for women ages 30 to 39 with palpable lumps and women younger than 30 with palpable lumps and suspicious findings on US.

• #20 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  Evaluation — After a breast examination, the best test for evaluating a breast lump depends, in part, upon your age. […] Women under age 30 — If you are under 30 years and you find a lump before your menstrual period, you may be advised to have a repeat breast examination after your period has ended. In this age group, breast lumps are often caused by hormonal changes and will resolve after your menstrual cycle. […] If the lump does not go away when your period is over, you will likely need further testing with a breast ultrasound and/or needle aspiration biopsy to determine whether the lump is fluid filled or solid. Mammograms are not usually performed in women under 30 years old, although a mammogram may be recommended if the ultrasound does not provide enough information. […] Women age 30 and older — Women who are age 30 or older who find a new breast lump will need a diagnostic mammogram and usually an ultrasound as well. During a diagnostic mammogram, a mammography technician works with a radiologist to study the area that feels or appears abnormal. Often, a mammogram of the other breast is done for comparison. If the lump appears suspicious on the mammogram and/or the ultrasound, a breast biopsy is usually recommended.

• #21 Palpable Lump – Radiology | UCLA Health

  https://www.uclahealth.org/departments/radiology/education/breast-imaging-teaching-resources/how-work-up-patient-with/palpable-lump

  Ultrasound is the first-line recommendation for a palpable lump in women under 30 years of age. If there is a suspicious finding on US, DM or DBT is recommended for further characterization to identify features of malignancy. US is also an essential next step in evaluating women 30 years of age with a palpable mass and either a negative mammogram or a finding not clearly benign on mammogram.

• #22 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  Ultrasound and needle aspiration — Ultrasound of the breast may be recommended to determine whether a lump is fluid filled or solid. Needle aspiration (using a needle and syringe to withdraw fluid) is another option. […] • Fluid-filled cysts are not usually caused by cancer and only require treatment if they cause discomfort. Treatment for a fluid-filled cyst, if necessary, usually includes draining the fluid with a needle. […] • Women with a solid or „complex” (fluid and solid) breast nodule are usually advised to have a biopsy. […] Breast biopsy — A breast biopsy is often recommended to further evaluate a new breast lump. A breast ultrasound, mammogram, or needle aspiration may be recommended before a biopsy. […] If your healthcare provider can feel the lump, they can often biopsy the area with a needle right in the office. This may involve removing some cells (fine needle aspiration) or, more commonly, a small sample of tissue (core needle biopsy).

• #23 Lumps and Breast Imaging – La Leche League International

  https://llli.org/breastfeeding-info/lumps-and-breast-imaging/

  Changes or abnormalities of any kind in your breast should be investigated with the same level of concern regardless of whether you are breastfeeding or not. […] If you need a mammogram while you are breastfeeding, it can usually be performed on your lactating breasts. However, it is not necessarily the diagnostic method of choice for high risk (e.g. BRCA carriers) women under 30. […] Your healthcare professional will be able to talk through your options with you. […] If the lump you’ve discovered needs closer examination, you can feed immediately after fine-needle aspiration as well as after a biopsy or other surgery. It is important to let your doctor and/or surgeon know that you are breastfeeding so they can select appropriate medications for you. […] If the lump appears suspicious, an MRI with a contrast medium to improve the clarity of the breast structure may be performed. […] If you have a biopsy or surgery, you may need to adjust breastfeeding positions for a time to avoid putting pressure on the sore area, or to express milk while you heal. Your local LLL Leader can help with suggestions – find local support here.

• #24 If You Find a Lump in Your Breast, Here’s What To Do Next | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/if-you-find-lump-your-breast-heres-what-do-next

  Medical oncologist Dr. Janice Shen says an important first step after detecting a breast lump is getting a thorough physical exam from a specialist. […] Dr. Shen stresses the importance of getting a good physical exam from either your primary doctor or gynecologist. That means your doctor should do more than just feel the lump in your breast. Make sure they do a thorough exam of the breast, including feeling around the collarbone and underneath the armpit, she says. […] Based on your physical exam, age, and your risk of breast cancer, your doctor will help determine if breast imaging may be appropriate for you, Dr. Shen says. […] In many cases, doctors can tell from a mammogram that a breast lump appears benign. Sometimes, though, doctors may need to do a biopsy to confirm that a lump is benign. A biopsy is usually performed by a radiologist, who will insert a needle into the breast to take a sample of the lumps cells.

• #25 Suspicious breast lumps – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/diagnosis-treatment/drc-20562275

  Diagnosis of a breast lump involves getting an exam and possibly tests to find out the cause of the lump. […] You’ll likely need one or more imaging tests to check for changes in the breasts. […] If these tests show that your lump is not cancer, you might need follow-up appointments. […] If imaging tests don’t help diagnose the lump, your healthcare professional might take a sample of cells for lab testing. This is called a biopsy. […] Whichever type of biopsy you have, your healthcare professional sends the tissue samples to a lab to be checked by a pathologist. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. […] Our caring team of Mayo Clinic experts can help you with your suspicious breast lumps-related health concerns.

• #26 Breast Biopsy: Procedure Types, What to Expect & Results Guide

  https://www.nationalbreastcancer.org/breast-cancer-biopsy/

  A breast biopsy is a test that removes tissue or sometimes fluid from the suspicious area. The removed cells are examined under a microscope and further tested to check for the presence of breast cancer. A biopsy is the only diagnostic procedure that can definitely determine if the suspicious area is cancerous. […] The good news is that 80% of women who have a breast biopsy do not have breast cancer. […] Core-needle and surgical biopsies are most commonly used on the breast. […] There are fewer side effects associated with a core-needle biopsy than with surgical biopsy. […] If no cancer cells are found, the report will indicate that the cells in the lump are benign, meaning non-cancerous. However, some type of follow-up or treatment may still be needed, as recommended by the healthcare professional.

• #27 Palpable breast lumps: An age-based approach to evaluation and diagnosis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9575372/

  A palpable breast lump is a common presentation of breast disease to a general practitioner. […] It is essential to have a clear and systematic approach when investigating a palpable breast lump to avoid over investigation with the resultant increase in healthcare cost and anxiety. […] With very few exceptions, every patient who presents with a breast lump needs to undergo a triple assessment. […] A full history, as with any other patient, is important. […] A systematic examination of the breast must be undertaken. […] Radiological assessment of the breast is essential and commonly consists of either an ultrasound, mammogram or both. […] The current gold standard in diagnosing breast lumps is a core needle biopsy. […] Therefore, age has been proposed to guide investigations in the work-up of breast lumps. […] Breast lumps are common and cause significant emotional stress for the patient when detected. An age-based approach to breast lumps allows for a cost-effective, safe and systematic pathway to investigate and treat breast lumps.

• #28 Common Breast Problems | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0415/p505.html

  Documentation of a mass found on CBE should include size, consistency, distance from the areolar edge, and circumferential position on the breast. […] Because of the imperfect sensitivity and specificity of CBE and imaging, patients should be referred for tissue sampling if suspicious findings are noted at any stage of the evaluation, regardless of benign findings at other stages. […] A highly suspicious breast mass found on CBE should be biopsied regardless of imaging findings, and suspicious masses on imaging should be biopsied even if the CBE suggested benign findings. […] In most cases, a core needle biopsy should be performed for evaluation of a suspicious mass. […] Compared with fine-needle aspiration, core needle biopsy has superior sensitivity, specificity, and ability to detect possible malignant invasion.

• #29 Common Breast Problems | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0415/p505.html

  Documentation of a mass found on CBE should include size, consistency, distance from the areolar edge, and circumferential position on the breast. […] Because of the imperfect sensitivity and specificity of CBE and imaging, patients should be referred for tissue sampling if suspicious findings are noted at any stage of the evaluation, regardless of benign findings at other stages. […] A highly suspicious breast mass found on CBE should be biopsied regardless of imaging findings, and suspicious masses on imaging should be biopsied even if the CBE suggested benign findings. […] In most cases, a core needle biopsy should be performed for evaluation of a suspicious mass. […] Compared with fine-needle aspiration, core needle biopsy has superior sensitivity, specificity, and ability to detect possible malignant invasion.

• #30 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  Ultrasound and needle aspiration — Ultrasound of the breast may be recommended to determine whether a lump is fluid filled or solid. Needle aspiration (using a needle and syringe to withdraw fluid) is another option. […] • Fluid-filled cysts are not usually caused by cancer and only require treatment if they cause discomfort. Treatment for a fluid-filled cyst, if necessary, usually includes draining the fluid with a needle. […] • Women with a solid or „complex” (fluid and solid) breast nodule are usually advised to have a biopsy. […] Breast biopsy — A breast biopsy is often recommended to further evaluate a new breast lump. A breast ultrasound, mammogram, or needle aspiration may be recommended before a biopsy. […] If your healthcare provider can feel the lump, they can often biopsy the area with a needle right in the office. This may involve removing some cells (fine needle aspiration) or, more commonly, a small sample of tissue (core needle biopsy).

• #31 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  If the abnormality cannot be easily felt but is visible on the ultrasound, a needle biopsy can be done under ultrasound guidance to ensure accurate targeting of the lesion. This involves placing a needle in the abnormal area and removing a sample of tissue, which is later examined with a microscope. A marking clip is generally placed for future identification and monitoring of the biopsied area. […] If the abnormality can be seen only on the mammogram, there are two ways to biopsy the area: […] • A needle biopsy may be done in radiology with local anesthesia using mammographic guidance (called stereotactic biopsy). Stereotactic biopsy is the procedure of choice for mammographic lesions, as it allows some patients to avoid surgery altogether. If surgery is needed, having a needle biopsy first is important for appropriate surgical planning.

• #32 Lumpectomy: Overview, Periprocedural Care, Technique

  https://emedicine.medscape.com/article/1830086-overview

  Lumpectomy is a safe procedure that does not have many complications. […] Although re-excision is not a complication per se, it is something that needs to be explained clearly to the patient before surgery. […] A novel method for predicting lumpectomy intraoperative margin status has been reported in which shaved cavity margins were evaluated with microcomputed tomography (micro-CT) scanning; this technique appears to show promise in the intraoperative identification of margin tumor involvement and reduction of reexcision rates. […] The resultant breast defect after this surgery is filled either by tissue displacement techniques or by replacement with fat or muscle-based grafts.

• #33 Breast Biopsy: Procedure Types, What to Expect & Results Guide

  https://www.nationalbreastcancer.org/breast-cancer-biopsy/

  A breast biopsy is a test that removes tissue or sometimes fluid from the suspicious area. The removed cells are examined under a microscope and further tested to check for the presence of breast cancer. A biopsy is the only diagnostic procedure that can definitely determine if the suspicious area is cancerous. […] The good news is that 80% of women who have a breast biopsy do not have breast cancer. […] Core-needle and surgical biopsies are most commonly used on the breast. […] There are fewer side effects associated with a core-needle biopsy than with surgical biopsy. […] If no cancer cells are found, the report will indicate that the cells in the lump are benign, meaning non-cancerous. However, some type of follow-up or treatment may still be needed, as recommended by the healthcare professional.

• #34 New Palpable Breast Mass – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK560757/

  Ultimately, the treatment of a breast lump varies depending on the condition diagnosed following appropriate follow-up and histologic assessment and may involve an interprofessional approach, with input from the oncology, radiology, pathology, surgical, specialist nursing, anesthetic teams, palliative care, social workers, and psychology teams where indicated.

• #35 Breast Lumps and Breast Examination. Information. Patient

  https://patient.info/doctor/breast-lumps-and-breast-examination

  The detection of a lump in the breast causes understandable fear of a cancer diagnosis. Careful examination will increase the chance of correct diagnosis. It is important that referrals are appropriate and that information and discussion accompany this assessment. […] Patients presenting with a lump in the breast will be aware of the possible diagnosis and will be very anxious. This should be taken into account when taking the history and discussing management. […] In line with good practice and GMC guidance, explain to the patient what you intend to do and why. Obtain consent for the examination and document this. Offer a chaperone and document the discussion. […] The importance of minimising delay is consistently reported by patients in surveys to be very important and is recognised by professional consensus. Short delays are unlikely to affect the clinical course of a breast cancer. Longer delays are usually either due to patient delay or to the GP’s failure to refer. […] The majority of palpable breast lumps are not breast cancer. […] It is recommended that investigation prior to referral is not appropriate. Once seen in the breast clinic, investigation usually involves mammography and/or ultrasound, with biopsy if appropriate.

• #36 Lump in Breast: What To Do When You Find One

  https://www.health.com/condition/breast-cancer/you-found-a-lump-in-your-breast-now-what

  It’s good to be familiar with how your breasts look and feel so you can be aware of any changes and contact a healthcare provider. One of those changes could be finding a lump in your breast. […] The good news is if you find a mass, the odds are in your favor, said Elisa Port, MD, a surgeon specializing in breast cancer at the Dubin Breast Center at Mount Sinai Hospital in New York City. […] However, if you’re in the middle of your cycle or postmenopausal, call a healthcare provider, even if you’re due for a mammogram soon. […] Knowing those details can be helpful for the healthcare provider during your exam. […] A healthcare professional will feel the lump and will check for several things. „Breast cancers are typically hard, similar to the consistency of a frozen pea,” said Holly J. Pederson, MD, director of medical breast services at the Cleveland Clinic.

• #37 I found a lump in my breast, what next? | University of Michigan Rogel Cancer Center

  https://www.rogelcancercenter.org/living-with-cancer/treatment-choices/i-found-lump-my-breast-what-next

  Whether it was discovered during a breast self-exam or incidentally as you were putting on your deodorant, finding a breast lump can be terrifying. […] But once found, do not wait, thinking the mass will go away on its own. Make sure to notify your healthcare provider. […] In addition to your healthcare provider conducting a detailed health history and clinical breast exam, he or she may need to order additional tests to help diagnose the breast lump. […] If there is a suspicion of cancer, a breast biopsy may be performed to remove a sample of breast cells for further examination by a pathologist. […] Do not let your mind wander during this anxious time to a worst case scenario. Rather take the time to congratulate yourself for not ignoring your body.

• #38 If You Find a Lump in Your Breast, Here’s What To Do Next | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/news/if-you-find-lump-your-breast-heres-what-do-next

  Most of the time we biopsy a lump in the breast, its not breast cancer, Dr. Shen says. […] Dr. Shen recommends that women check their breasts for any changes once a month. […] However, she emphasizes that self-exams do not replace the need for routine breast cancer screenings with a healthcare professional. […] In the unlikely event that a breast lump turns out to be cancer, MSK is a leader in caring for people with all forms of the disease, Dr. Shen says. […] MSK specialists also understand that healthcare goes beyond medicine and are here to support your mental, social, and emotional health.

• #39 Breast Lumps and Breast Examination. Information. Patient

  https://patient.info/doctor/breast-lumps-and-breast-examination

  The detection of a lump in the breast causes understandable fear of a cancer diagnosis. Careful examination will increase the chance of correct diagnosis. It is important that referrals are appropriate and that information and discussion accompany this assessment. […] Patients presenting with a lump in the breast will be aware of the possible diagnosis and will be very anxious. This should be taken into account when taking the history and discussing management. […] In line with good practice and GMC guidance, explain to the patient what you intend to do and why. Obtain consent for the examination and document this. Offer a chaperone and document the discussion. […] The importance of minimising delay is consistently reported by patients in surveys to be very important and is recognised by professional consensus. Short delays are unlikely to affect the clinical course of a breast cancer. Longer delays are usually either due to patient delay or to the GP’s failure to refer. […] The majority of palpable breast lumps are not breast cancer. […] It is recommended that investigation prior to referral is not appropriate. Once seen in the breast clinic, investigation usually involves mammography and/or ultrasound, with biopsy if appropriate.

• #40 Breast Lumps and Breast Examination. Information. Patient

  https://patient.info/doctor/breast-lumps-and-breast-examination

  The detection of a lump in the breast causes understandable fear of a cancer diagnosis. Careful examination will increase the chance of correct diagnosis. It is important that referrals are appropriate and that information and discussion accompany this assessment. […] Patients presenting with a lump in the breast will be aware of the possible diagnosis and will be very anxious. This should be taken into account when taking the history and discussing management. […] In line with good practice and GMC guidance, explain to the patient what you intend to do and why. Obtain consent for the examination and document this. Offer a chaperone and document the discussion. […] The importance of minimising delay is consistently reported by patients in surveys to be very important and is recognised by professional consensus. Short delays are unlikely to affect the clinical course of a breast cancer. Longer delays are usually either due to patient delay or to the GP’s failure to refer. […] The majority of palpable breast lumps are not breast cancer. […] It is recommended that investigation prior to referral is not appropriate. Once seen in the breast clinic, investigation usually involves mammography and/or ultrasound, with biopsy if appropriate.

• #41 Breast Lump: Types, Causes, How to Check Them & Treatment

  https://www.nationalbreastcancer.org/breast-lump/

  A breast lump is a mass, growth, or swelling within the breast tissue. While finding a lump in your breast can be concerning, it is important to remember that the majority of breast lumps are not breast cancer. There are many conditions that may cause benign (non-cancerous) breast lumps. However, all breast lumps should be investigated by a healthcare professional. […] While breast lumps should be checked and monitored by a healthcare professional, it is important to note that the absence of a noticeable breast lump does not mean breast cancer cannot or has not developed. Beginning at age 40, all women should receive an annual mammogram, and women over the age of 18 should perform a monthly breast self-exam. […] As a general rule, any new breast lump or breast change should be checked by a healthcare professional. Please schedule an appointment with your provider if you notice anything different or a change in your breasts, including but not limited to: The discovery of a new breast lump, whether painful or not painful. […] All breast lumps or changes should be reported to your doctor!

• #42 I found a breast lump. Should I worry? | OSF HealthCare

  https://www.osfhealthcare.org/blog/found-a-breast-lump/

  According to the American Cancer Society, the most common breast cancer symptom is a lump or mass. A lump can be painless and hard with irregular edges or tender, soft or round. […] You shouldnt be worried about a breast lump. A vast majority of lumps prove to be harmless. But whenever a lump or mass is detected, its essential to have it checked by a health care provider. […] Women should be familiar with how their breasts normally feel and then report any changes in appearance, skin changes or nipple discharge to a health care provider. […] If you find something unusual in your normal self-breast exam, such as a new lump, nipple discharge or skin changes, report it to your primary care provider immediately. […] For young women, it is common to have cysts in breasts or other benign conditions like fibro adenoma, which feels like a firm, smooth or rubbery lump, or a papilloma, a benign tumor. It doesnt mean you will develop breast cancer.

• #43 I found a breast lump. Should I worry? | OSF HealthCare

  https://www.osfhealthcare.org/blog/found-a-breast-lump/

  According to the American Cancer Society, the most common breast cancer symptom is a lump or mass. A lump can be painless and hard with irregular edges or tender, soft or round. […] You shouldnt be worried about a breast lump. A vast majority of lumps prove to be harmless. But whenever a lump or mass is detected, its essential to have it checked by a health care provider. […] Women should be familiar with how their breasts normally feel and then report any changes in appearance, skin changes or nipple discharge to a health care provider. […] If you find something unusual in your normal self-breast exam, such as a new lump, nipple discharge or skin changes, report it to your primary care provider immediately. […] For young women, it is common to have cysts in breasts or other benign conditions like fibro adenoma, which feels like a firm, smooth or rubbery lump, or a papilloma, a benign tumor. It doesnt mean you will develop breast cancer.

• #44 Fine Needle Aspiration (FNA) of the Breast | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/breast-biopsy/fine-needle-aspiration-biopsy-of-the-breast.html

  During a fine needle aspiration (FNA), a small amount of breast tissue or fluid is removed from a suspicious area with a thin, hollow needle and checked for cancer cells. […] If an FNA is done to test a suspicious area in the breast, the sample is then checked for cancer cells. […] Your doctor or nurse will tell you how to care for the area where the biopsy was done and what you can and cant do while it heals. […] Biopsies can sometimes cause bleeding, bruising, or swelling. This can make it seem like a breast lump is larger after the biopsy. […] However, an FNA can sometimes miss a cancer if the needle does not go into the cancer cells, or if it doesn’t remove enough cells. […] If the results of the FNA biopsy do not give a clear diagnosis, or if your doctor still has concerns, you might need a more extensive type of biopsy, such as a core needle biopsy or a surgical (open) biopsy.

• #45 Fine Needle Aspiration (FNA) of the Breast | American Cancer Society

  https://www.cancer.org/cancer/types/breast-cancer/screening-tests-and-early-detection/breast-biopsy/fine-needle-aspiration-biopsy-of-the-breast.html

  During a fine needle aspiration (FNA), a small amount of breast tissue or fluid is removed from a suspicious area with a thin, hollow needle and checked for cancer cells. […] If an FNA is done to test a suspicious area in the breast, the sample is then checked for cancer cells. […] Your doctor or nurse will tell you how to care for the area where the biopsy was done and what you can and cant do while it heals. […] Biopsies can sometimes cause bleeding, bruising, or swelling. This can make it seem like a breast lump is larger after the biopsy. […] However, an FNA can sometimes miss a cancer if the needle does not go into the cancer cells, or if it doesn’t remove enough cells. […] If the results of the FNA biopsy do not give a clear diagnosis, or if your doctor still has concerns, you might need a more extensive type of biopsy, such as a core needle biopsy or a surgical (open) biopsy.

• #46 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  • Occasionally, biopsies must be done surgically instead. In this case, the radiologist will work with the surgeon to mark the abnormal area with a thin wire or one of the many available wire-free localizing options prior to surgery. After the radiologist places the localizing device or wire, the surgeon can use it to guide removal of the proper area. Surgical biopsy is usually recommended only if the biopsy cannot be obtained with less invasive methods. […] WHEN TO SEEK HELP […] If you find a new breast problem, you should make an appointment with your primary care or gynecologic healthcare provider within a few weeks. Although breast problems are not usually an emergency, delaying the evaluation for months can potentially allow the problem to worsen. […] In some cases, this evaluation will be all that is needed. In other cases, you may be referred for further testing or evaluation with a breast surgeon. This does not necessarily mean that you need surgery, as most breast surgeons care for both surgical and nonsurgical breast issues. […] If your initial evaluation shows no sign of a problem but you remain concerned, talk to your healthcare provider. Further testing, follow-up over time, or referral to a breast specialist may be recommended.

• #47 Suspicious breast lumps – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/diagnosis-treatment/drc-20562275

  Diagnosis of a breast lump involves getting an exam and possibly tests to find out the cause of the lump. […] You’ll likely need one or more imaging tests to check for changes in the breasts. […] If these tests show that your lump is not cancer, you might need follow-up appointments. […] If imaging tests don’t help diagnose the lump, your healthcare professional might take a sample of cells for lab testing. This is called a biopsy. […] Whichever type of biopsy you have, your healthcare professional sends the tissue samples to a lab to be checked by a pathologist. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. […] Our caring team of Mayo Clinic experts can help you with your suspicious breast lumps-related health concerns.

• #48 Suspicious breast lumps | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/suspicious-breast-lumps?content_id=CON-20305543

  Most of these growths aren’t cancer, but you should still get them checked promptly. […] But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: […] See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Some conditions that cause breast lumps may lead to other health concerns, also called complications. […] Other breast conditions that are not cancer still can raise the risk of breast cancer later on. […] If you have a breast condition that raises the risk of cancer, it doesn’t mean that you’ll definitely get breast cancer. […] There’s no clear way to prevent many breast lumps. […] But some risk factors for cancerous breast lumps are within your power to change. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you.

• #49 Breast Lumps: Types, Benign, Moveable, Causes & Diagnosis

  https://my.clevelandclinic.org/health/symptoms/6906-breast-lumps

  A breast lump is a mass or growth that develops in your breast. While a breast lump can be a sign of breast cancer, its usually benign (not cancerous). In fact, 8 out of 10 breast lumps are noncancerous. If you feel a lump in your breast or under your arm, try not to panic. A healthcare provider can figure out the cause of the breast lump and determine if you need tests or treatment. […] Breast lumps are one of the symptoms of breast cancer. But, often, breast lumps arent cancerous. Several other conditions can cause breast lumps. […] Talk to your healthcare provider if you notice a breast lump. If it is cancer, treatment is more successful when started early. […] If you feel a lump or anything unusual in your breast, see a healthcare provider. […] Treatment for a breast lump depends on the cause. Some lumps dont require any treatment.

• #50 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. Causes of breast lumps and their treatment options include: Fibrocystic breasts. If you have fibrocystic breasts, your healthcare professional may suggest pain medicines that you can buy without a prescription. […] Breast cancer. Treatment for breast cancer depends on the type of cancer and whether it has spread. Your healthcare professional may suggest treatments such as surgery, chemotherapy, hormone therapy such as anti-estrogen medicines or radiation therapy. Or you might be able to join a clinical trial that tests new treatments.

• #51 Suspicious breast lumps // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/suspicious-breast-lumps

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: The lump is new and feels firm or fixed. The lump doesn’t go away after 4 to 6 weeks. Or it has changed in size or in how it feels. […] Breast lumps can be caused by: Breast cysts. These fluid-filled sacs inside the breast are round, smooth and firm. […] Breast cancer. A breast lump that’s painless, hard, has irregular edges and is different from the breast tissue around it might be breast cancer. […] See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. Causes of breast lumps and their treatment options include: Fibrocystic breasts. If you have fibrocystic breasts, your healthcare professional may suggest pain medicines that you can buy without a prescription. […] Breast cancer. Treatment for breast cancer depends on the type of cancer and whether it has spread. Your healthcare professional may suggest treatments such as surgery, chemotherapy, hormone therapy such as anti-estrogen medicines or radiation therapy.

• #52 Breast Biopsy: Procedure Types, What to Expect & Results Guide

  https://www.nationalbreastcancer.org/breast-cancer-biopsy/

  A breast biopsy is a test that removes tissue or sometimes fluid from the suspicious area. The removed cells are examined under a microscope and further tested to check for the presence of breast cancer. A biopsy is the only diagnostic procedure that can definitely determine if the suspicious area is cancerous. […] The good news is that 80% of women who have a breast biopsy do not have breast cancer. […] Core-needle and surgical biopsies are most commonly used on the breast. […] There are fewer side effects associated with a core-needle biopsy than with surgical biopsy. […] If no cancer cells are found, the report will indicate that the cells in the lump are benign, meaning non-cancerous. However, some type of follow-up or treatment may still be needed, as recommended by the healthcare professional.

• #53 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. Causes of breast lumps and their treatment options include: Fibrocystic breasts. If you have fibrocystic breasts, your healthcare professional may suggest pain medicines that you can buy without a prescription. […] Breast cancer. Treatment for breast cancer depends on the type of cancer and whether it has spread. Your healthcare professional may suggest treatments such as surgery, chemotherapy, hormone therapy such as anti-estrogen medicines or radiation therapy. Or you might be able to join a clinical trial that tests new treatments.

• #54 Suspicious breast lumps // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/suspicious-breast-lumps

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: The lump is new and feels firm or fixed. The lump doesn’t go away after 4 to 6 weeks. Or it has changed in size or in how it feels. […] Breast lumps can be caused by: Breast cysts. These fluid-filled sacs inside the breast are round, smooth and firm. […] Breast cancer. A breast lump that’s painless, hard, has irregular edges and is different from the breast tissue around it might be breast cancer. […] See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. Causes of breast lumps and their treatment options include: Fibrocystic breasts. If you have fibrocystic breasts, your healthcare professional may suggest pain medicines that you can buy without a prescription. […] Breast cancer. Treatment for breast cancer depends on the type of cancer and whether it has spread. Your healthcare professional may suggest treatments such as surgery, chemotherapy, hormone therapy such as anti-estrogen medicines or radiation therapy.

• #55 Breast Lumps: Imaging Tests and Treatment

  https://www.radiologyinfo.org/en/info/breastlumps

  A breast lump is a mass that develops in the breast. […] Your doctor will likely perform a physical exam to evaluate a breast lump. […] If the lump is confirmed to be benign, no further action may be needed, but your doctor may want to monitor it to see if it changes, grows or disappears over time. […] If the tests are inconclusive, a biopsy using ultrasound, x-ray or magnetic resonance imaging guidance may be performed. […] If a lump is proven to be cancer, surgery is usually performed. […] You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy. […] One of the following radiation therapy treatments may be used after surgery to ensure any microscopic cancer cells are eliminated: External Beam Therapy, Intensity-Modulated Radiation Therapy (IMRT), Brachytherapy (Interstitial Therapy).

• #56 Breast Lumps: Imaging Tests and Treatment

  https://www.radiologyinfo.org/en/info/breastlumps

  A breast lump is a mass that develops in the breast. […] Your doctor will likely perform a physical exam to evaluate a breast lump. […] If the lump is confirmed to be benign, no further action may be needed, but your doctor may want to monitor it to see if it changes, grows or disappears over time. […] If the tests are inconclusive, a biopsy using ultrasound, x-ray or magnetic resonance imaging guidance may be performed. […] If a lump is proven to be cancer, surgery is usually performed. […] You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy. […] One of the following radiation therapy treatments may be used after surgery to ensure any microscopic cancer cells are eliminated: External Beam Therapy, Intensity-Modulated Radiation Therapy (IMRT), Brachytherapy (Interstitial Therapy).

• #57 Suspicious breast lumps | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/suspicious-breast-lumps

  See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. Causes of breast lumps and their treatment options include: Fibrocystic breasts. If you have fibrocystic breasts, your healthcare professional may suggest pain medicines that you can buy without a prescription. […] Breast cancer. Treatment for breast cancer depends on the type of cancer and whether it has spread. Your healthcare professional may suggest treatments such as surgery, chemotherapy, hormone therapy such as anti-estrogen medicines or radiation therapy. Or you might be able to join a clinical trial that tests new treatments.

• #58 New Palpable Breast Mass – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK560757/

  Ultimately, the treatment of a breast lump varies depending on the condition diagnosed following appropriate follow-up and histologic assessment and may involve an interprofessional approach, with input from the oncology, radiology, pathology, surgical, specialist nursing, anesthetic teams, palliative care, social workers, and psychology teams where indicated.

• #59 Suspicious breast lumps – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/diagnosis-treatment/drc-20562275

  Diagnosis of a breast lump involves getting an exam and possibly tests to find out the cause of the lump. […] You’ll likely need one or more imaging tests to check for changes in the breasts. […] If these tests show that your lump is not cancer, you might need follow-up appointments. […] If imaging tests don’t help diagnose the lump, your healthcare professional might take a sample of cells for lab testing. This is called a biopsy. […] Whichever type of biopsy you have, your healthcare professional sends the tissue samples to a lab to be checked by a pathologist. […] Treatment for a breast lump depends on its cause. Your healthcare professional helps you choose the treatment that’s right for you. […] Our caring team of Mayo Clinic experts can help you with your suspicious breast lumps-related health concerns.

• #60 Breast Lumps: Imaging Tests and Treatment

  https://www.radiologyinfo.org/en/info/breastlumps

  A breast lump is a mass that develops in the breast. […] Your doctor will likely perform a physical exam to evaluate a breast lump. […] If the lump is confirmed to be benign, no further action may be needed, but your doctor may want to monitor it to see if it changes, grows or disappears over time. […] If the tests are inconclusive, a biopsy using ultrasound, x-ray or magnetic resonance imaging guidance may be performed. […] If a lump is proven to be cancer, surgery is usually performed. […] You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy. […] One of the following radiation therapy treatments may be used after surgery to ensure any microscopic cancer cells are eliminated: External Beam Therapy, Intensity-Modulated Radiation Therapy (IMRT), Brachytherapy (Interstitial Therapy).

• #61 Breast lump or breast changes: Early evaluation is essential | Health Library | Memorial Health System

  https://www.mhsystem.org/health-library/art-20044839/

  This test involves a healthcare professional removing a tissue sample for study under a microscope. […] Most often the radiologist doing the breast biopsy leaves a tiny clip or marker where the sample came from. This makes the area stand out on later imaging tests and marks the site for later surgery if its needed. […] If the breast lump isnt cancer, a healthcare professional decides if you need to have breast exams more often or repeat breast imaging within the year to look for other changes on the mammogram. Your healthcare professional may ask you to return in 2 to 3 months to see if there are changes in your breast. […] A breast lump thats cancer needs treatment. Treatment depends on the tumor type and other factors.

• #62 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  • Occasionally, biopsies must be done surgically instead. In this case, the radiologist will work with the surgeon to mark the abnormal area with a thin wire or one of the many available wire-free localizing options prior to surgery. After the radiologist places the localizing device or wire, the surgeon can use it to guide removal of the proper area. Surgical biopsy is usually recommended only if the biopsy cannot be obtained with less invasive methods. […] WHEN TO SEEK HELP […] If you find a new breast problem, you should make an appointment with your primary care or gynecologic healthcare provider within a few weeks. Although breast problems are not usually an emergency, delaying the evaluation for months can potentially allow the problem to worsen. […] In some cases, this evaluation will be all that is needed. In other cases, you may be referred for further testing or evaluation with a breast surgeon. This does not necessarily mean that you need surgery, as most breast surgeons care for both surgical and nonsurgical breast issues. […] If your initial evaluation shows no sign of a problem but you remain concerned, talk to your healthcare provider. Further testing, follow-up over time, or referral to a breast specialist may be recommended.

• #63 Breast Biopsy: Procedure Types, What to Expect & Results Guide

  https://www.nationalbreastcancer.org/breast-cancer-biopsy/

  If cancer cells are found, the report will provide more information to help determine the next steps. […] A positive margin means cancer cells are present at the margin of the tumor. In cases of positive margins, the cancer has spread beyond the immediate area. […] A negative margin or clear margin indicates there are no tumor cells at the margin. That means the cancer is contained in the area nearest to the tumor. […] If you have a biopsy resulting in a cancer diagnosis, the pathology report will help you and your doctor talk about the next steps. You will likely be referred to a breast cancer specialist, and you may need more scans, lab tests, or surgery. Your medical team uses the pathology report and the results of the other tests to determine the stage of cancer and to design the best treatment plan for you.

• #64 Breast Lumps: Imaging Tests and Treatment

  https://www.radiologyinfo.org/en/info/breastlumps

  A breast lump is a mass that develops in the breast. […] Your doctor will likely perform a physical exam to evaluate a breast lump. […] If the lump is confirmed to be benign, no further action may be needed, but your doctor may want to monitor it to see if it changes, grows or disappears over time. […] If the tests are inconclusive, a biopsy using ultrasound, x-ray or magnetic resonance imaging guidance may be performed. […] If a lump is proven to be cancer, surgery is usually performed. […] You may have several consultations with other physicians for additional treatment, including radiation therapy and chemotherapy or hormone therapy. […] One of the following radiation therapy treatments may be used after surgery to ensure any microscopic cancer cells are eliminated: External Beam Therapy, Intensity-Modulated Radiation Therapy (IMRT), Brachytherapy (Interstitial Therapy).

• #65 Suspicious breast lumps – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/symptoms-causes/syc-20352786

  There’s no clear way to prevent many breast lumps. Breast lumps that are not cancer often are linked with natural changes in the body, such as hormonal changes over time. […] But some risk factors for cancerous breast lumps are within your power to change. Take the following steps to lower your chances of breast cancer: […] Connect with others like you for support and answers to your questions in the Breast Cancer support group on Mayo Clinic Connect, a patient community.

• #66 Suspicious breast lumps – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/symptoms-causes/syc-20352786

  There’s no clear way to prevent many breast lumps. Breast lumps that are not cancer often are linked with natural changes in the body, such as hormonal changes over time. […] But some risk factors for cancerous breast lumps are within your power to change. Take the following steps to lower your chances of breast cancer: […] Connect with others like you for support and answers to your questions in the Breast Cancer support group on Mayo Clinic Connect, a patient community.

• #67 Breast Cancer Signs, Symptoms and Understanding an Imaging Report | Saint John’s Cancer Institute

  https://www.saintjohnscancer.org/breast/breast-cancer/

  The histological grade of breast cancer is a measure of how much the cancer cells differ from normal breast cells. […] This grade helps predict the aggressiveness of the cancer and guides treatment options. […] Breast cancers that express high levels of estrogen and progesterone receptors are likely to respond well to endocrine therapy. […] HER2-positive breast cancers tend to have a poorer prognosis but can be treated with targeted therapies like Trastuzumab and Pertuzumab, which have been shown to reduce recurrence and mortality rates. […] Regular breast cancer screening with mammogram is the best way to detect early breast cancer. […] Some early signs that warrant work up for possible cancer include bloody nipple discharge, skin dimpling and or retraction of the nipple.

• #68 Is a lump in your breast always cancer? 4 signs of breast cancer | Nebraska Medicine Omaha, NE

  https://www.nebraskamed.com/cancer/breast-cancer/is-a-lump-in-your-breast-always-breast-cancer-4-signs-of-breast-cancer

  „Cancerous lumps can be painful,” says Dr. Santamaria. „But benign fibrocystic lumps, a fibroadenoma or a breast cyst typically hurt more than cancerous lumps.” […] Tell your OB-GYN or primary care provider if you notice any change in your breasts lumps, discharge or anything else. […] „Listen to your body,” says Dr. Santamaria. „We’ve seen breast cancer in 20-year-olds, so don’t ignore it.” Early detection means better outcomes: When breast cancer is caught early, the five-year survival rate is 99%. […] Your provider may order a mammogram, ultrasound or both. If there’s anything concerning found, you may need a biopsy. […] „3D mammograms can detect 30% more breast cancers than traditional mammograms,” says Dr. Santamaria.

• #69 Suspicious breast lumps – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/suspicious-breast-lumps/symptoms-causes/syc-20352786

  A breast lump is a growth of tissue that forms in the breast. Most breast lumps are not irregular or cancerous. But it’s key to have your healthcare professional check them promptly. […] Make an appointment to have a breast lump checked, especially if: […] There is a problem with information submitted for this request. Review/update the information highlighted below and resubmit the form. […] See your healthcare professional to learn what kinds of tests you might need and which type of breast lump you have. […] Some conditions that cause breast lumps may lead to other health concerns, also called complications. The complications depend on the type of breast lump that you have. […] Other breast conditions that are not cancer still can raise the risk of breast cancer later on. […] If you have a breast condition that raises the risk of cancer, it doesn’t mean that you’ll definitely get breast cancer. Ask your healthcare professional what the risk means for you and whether you can make lifestyle changes to lower it.

• #70 Patient education: Common breast problems (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/common-breast-problems-beyond-the-basics/print

  • Occasionally, biopsies must be done surgically instead. In this case, the radiologist will work with the surgeon to mark the abnormal area with a thin wire or one of the many available wire-free localizing options prior to surgery. After the radiologist places the localizing device or wire, the surgeon can use it to guide removal of the proper area. Surgical biopsy is usually recommended only if the biopsy cannot be obtained with less invasive methods. […] WHEN TO SEEK HELP […] If you find a new breast problem, you should make an appointment with your primary care or gynecologic healthcare provider within a few weeks. Although breast problems are not usually an emergency, delaying the evaluation for months can potentially allow the problem to worsen. […] In some cases, this evaluation will be all that is needed. In other cases, you may be referred for further testing or evaluation with a breast surgeon. This does not necessarily mean that you need surgery, as most breast surgeons care for both surgical and nonsurgical breast issues. […] If your initial evaluation shows no sign of a problem but you remain concerned, talk to your healthcare provider. Further testing, follow-up over time, or referral to a breast specialist may be recommended.

• #71 Breast lump Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/breast-lump

  A breast lump is swelling, growth, or mass in the breast. […] Breast lumps in both men and women raise concern for breast cancer, even though most lumps are not cancer. […] See your provider if you have any new lumps or breast changes. Ask about your risk factors for breast cancer, and screening and prevention for breast cancer. […] Contact your provider if: The skin on your breast appears dimpled or wrinkled (like the peel of an orange). […] You find a new breast lump during self-exam. […] Your provider will get a complete history from you. […] Steps your provider may take next include: Ordering a mammogram to look for cancer, or a breast ultrasound to see if the lump is solid or a cyst. […] How a breast lump is treated depends on the cause. […] If you are diagnosed with breast cancer, you will discuss your options carefully and thoroughly with your provider.

• #72 Is a lump in your breast always cancer? 4 signs of breast cancer | Nebraska Medicine Omaha, NE

  https://www.nebraskamed.com/cancer/breast-cancer/is-a-lump-in-your-breast-always-breast-cancer-4-signs-of-breast-cancer

  „Cancerous lumps can be painful,” says Dr. Santamaria. „But benign fibrocystic lumps, a fibroadenoma or a breast cyst typically hurt more than cancerous lumps.” […] Tell your OB-GYN or primary care provider if you notice any change in your breasts lumps, discharge or anything else. […] „Listen to your body,” says Dr. Santamaria. „We’ve seen breast cancer in 20-year-olds, so don’t ignore it.” Early detection means better outcomes: When breast cancer is caught early, the five-year survival rate is 99%. […] Your provider may order a mammogram, ultrasound or both. If there’s anything concerning found, you may need a biopsy. […] „3D mammograms can detect 30% more breast cancers than traditional mammograms,” says Dr. Santamaria.

• #73 Breast Cancer Signs, Symptoms and Understanding an Imaging Report | Saint John’s Cancer Institute

  https://www.saintjohnscancer.org/breast/breast-cancer/

  Knowing the signs and symptoms of breast cancer may help save your life. […] Any discrete breast lump, whether painful or not, should be evaluated because breast cancer often presents as a lump or thickening. […] If you find a lump or other change in your breast even if a recent mammogram was normal you should call us immediately. […] When a suspicious breast lesion appears on your mammogram or ultrasound, a biopsy sample will likely be taken from the lesion and sent for histological evaluation by the pathologist. […] An initial biopsy sampling and analysis could be considered an extension of the breast cancer screening process, where breast cancer is either confirmed positive or confirmed negative. […] Once breast cancer is confirmed by the pathologist, the breast cancer staging process begins.

• #74 How to Tell if a Breast Lump Is Cancerous | BASS Medical Group

  https://www.bassmedicalgroup.com/blog-post/cancerous-breast-lump

  Finding a lump in your breast can be alarming, but not every lump is cancerous. […] Early detection is key to successful breast cancer treatment. […] If you notice a new lump or changes in your breast, don’t wait. See a doctor for a clinical breast exam and diagnostic imaging, such as: Mammogram, Ultrasound, Breast MRI, Biopsy (if needed). […] Early diagnosis allows for more treatment options and better outcomes. […] If you’ve discovered a lump or are experiencing changes in your breast, the experienced team at BASS Cancer Center is here to help. […] Your health is worth it—and early detection saves lives.

• #75 Breast Health While Breastfeeding: Understanding Lumps and Knowing When to Seek Help

  https://motifmedical.com/blog/breast-health-while-breastfeeding-understanding-lumps-and-knowing-when-to-seek-help?srsltid=AfmBOoraXF36U9b1ThyuaovS7r16hliQb2Q5Km1_8rxH4vcnbfovI4XU

  If you find a lump that doesn’t go away after a few days or weeks, even after trying remedies for clogged ducts or mastitis, it’s important to get it checked by a healthcare provider. […] It’s always better to err on the side of caution when it comes to your breast health while breastfeeding. […] The lump feels hard, immovable, or irregular and persists longer than two weeks, even after treatment for clogged ducts or mastitis. […] It’s perfectly normal to experience lumps in your breasts while breastfeeding, and most of the time, they’re related to natural processes like milk production or clogged ducts. However, it’s important to listen to your body and seek medical advice if something doesn’t feel right. […] Nurturing Expressions provides caring, evidence-based healthcare and support for expecting and new parents. They specialize in lactation, chest and breastfeeding, breast pump education and care, and mastectomy and compression garments.

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