Pathways
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Advice
- Strategies in cancer care
- Pathways for referral and primary disease management
- Surgery
- Radiotherapy
- Drug treatment
- Supportive treatment
The following treatment algorithm summanses the recommended guidelines for the management of patients with breast lumps:
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 | |||
Triple Assessment
TheTriple assessment is a diagnostic procedure used for symptomatic womenand women recalled for assessment following screening. All women with adiscrete lump referred to a specialist surgeon will undergo Tripleassessment. The procedure consists of examination by a breast surgeon,mammography and/or ultrasound, and fine needle aspiration or corecutbiopsy.
| Triple assessment | ||
| Clinical | Imaging | Pathology |
| Age examination (Family history) | Ultrasound | Fine needle aspiration |
| Mammography | Core-cut biopsy | |
Confident diagnosis in 95% cases |
Triple assessment enables a confident diagnosis to be made in 95% of patients with suspected breast cancer.
Management of patients with nipple discharge
The following treatment algorithm summanses the recommended treatment pathway for management of patients with nipple discharge.
Guidelines for the management of patients with breast pain
The following treatment algorithm summanses the recommended guideline for the management of patients with breast pain
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