Step II Palpable breast masses

[The kitchen sink]

If a women comes in with a palpable breast mass, do you always get imaging, no matter what the characteristics are?

 

[JRjcu08]

Generally:
If <30 and low suspicion (no nipple discharge, solitary mass, no lymphadenopathy, mobile, smooth borders, etc.) - you'd likely ultrasound and follow. Women under 30 have too dense of breast tissue for the mammo to give much worthwhile info, so if the u/s looks suspicious --> biopsy.

If >30, mammogram
Mammo normal-- low suspicion --> Ultrasound possibly followed by biopsy if u/s looks suspicious
Mammo normal-- high suspicion --> biopsy
Mammo abnormal --> biopsy

 

[link2swim06]

Generally:
If <30 and low suspicion (no nipple discharge, solitary mass, no lymphadenopathy, mobile, smooth borders, etc.) - you'd likely ultrasound and follow. Women under 30 have too dense of breast tissue for the mammo to give much worthwhile info, so if the u/s looks suspicious --> biopsy.

If >30, mammogram
Mammo normal-- low suspicion --> Ultrasound possibly followed by biopsy if u/s looks suspicious
Mammo normal-- high suspicion --> biopsy
Mammo abnormal --> biopsy

👍

 

[The kitchen sink]

Generally:
If <30 and low suspicion (no nipple discharge, solitary mass, no lymphadenopathy, mobile, smooth borders, etc.) - you'd likely ultrasound and follow. Women under 30 have too dense of breast tissue for the mammo to give much worthwhile info, so if the u/s looks suspicious --> biopsy.

If >30, mammogram
Mammo normal-- low suspicion --> Ultrasound possibly followed by biopsy if u/s looks suspicious
Mammo normal-- high suspicion --> biopsy
Mammo abnormal --> biopsy

Thanks, so for example a 25 y/o that comes in with a mass resembling a fibroadenoma (the vignette describes a firm, rubbery, mobile, tender mass), you get an U/S and follow?

 

[evilbooyaa]

Yes. Pretty rare to biopsy something in a 25 year old with benign characteristics.