Diagnostic pathways
Diagnostic pathways
Management of patients with breast lumps
Guidelines for the management of patients with breast pain
Management of patients with nipple discharge
Triple assesment
Management of patients with breast lumps
The following treatment algorithm summarises the recommended guidelines for the management of patients with breast lumps:
History | ||||
| No lump | Discreet lump | Dominant asymmetrical nodularity | ||
| Reassure ? Reassess | Refer to breast unit | Refer to breast surgeon | < 35 years of age with positive family history or > 35 years of age | < 35 years of age with negative family history |
| Nodularity gone, reassure patient | Review in 6 weeks | |||
| Refer if persistent to breast unit | Refer if persistent to breast surgeon | |||
Guidelines for the management of patients with breast pain
The following treatment algorithm summarises the recommended guideline for the management of patients with breast pain.
Management of patients with nipple discharge
The following treatment algorithm summarises the recommended treatment pathway for management of patients with nipple discharge.
Triple assessment
The 'Triple Assessment' is a diagnostic procedure used for symptomatic women and women recalled for assessment following screening.
All women with a discrete lump referred to a specialist surgeon will undergo 'Triple Assessment'.
The procedure consists of examination by a breast surgeon, mammography and/or ultrasound, and fine needle aspiration or core-cut biopsy.
Triple assessment | |||
| Clinical | Imaging | Pathology | |
| Age examination (Family istory) | Ultrasound | Fine needle aspirration | |
| Mammography | Core-cut biopsy | ||
| Confident diagnosis in 95% cases | |||
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