Clinical breast examination: lump, pain and benign changes

Extract

• All palpated lumps and suspicious visual changes must be further examined.
• In the investigation of palpable lesions, a triple diagnostic approach is used: clinical examination, imaging studies and needle biopsy (cytological/histological).
• Benign breast changes are common; fibrocystic changes are found in every fourth woman in fertile age.
• Fibrocystic changes are not associated with increased risk of breast cancer.
• Breast cancer risk is to some extent increased in a radiologically dense breast tissue.
• Breast cancer risk is 1.5–2.0-fold in ductal hyperplasia, lobular hyperplasia (without atypia), sclerosing adenosis, diffuse papillomatosis, complex fibroadenoma and radial scar changes.

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Breast, Bromocriptine, Danazol, Gynaecology, N63, N64.4, Neoplastic diseases, Surgery, breast examination, breast lump, skin retraction