Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • mastalgia
  • diffuse symmetrical lumpiness through both breasts

Other diagnostic factors

  • age 30 to 50 years
  • nipple discharge
  • palpable breast mass

Risk factors

  • late-onset menopause
  • later age at first childbirth
  • nulliparity
  • obesity
  • oestrogen replacement therapy

Diagnostic investigations

1st investigations to order

  • mammography
  • breast ultrasound
Full details

Investigations to consider

  • cyst aspiration
  • breast biopsy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Surgery

Division of Surgical Oncology and Endocrine Surgery

University of Iowa Hospitals and Clinics

Iowa City

IA

Disclosures

SS declares that she has no competing interests.

Clinical Assistant Professor

Division of Surgical Oncology and Endocrine Surgery

University of Iowa Hospitals and Clinics

Iowa City

IA

Disclosures

IL declares that she has no competing interests.

Multidisciplinary Breast Surgical Oncology Fellow

Division of Surgical Oncology and Endocrine Surgery

University of Iowa Hospitals and Clinics

Iowa City

IA

Disclosures

AT declares that she has no competing interests.

Dr Sonia Sugg, Dr Ingrid Lizarraga, and Dr Anjali Thawani would like to gratefully acknowledge Dr Sarah E. Colwick, Dr Hernan I. Vargas, Dr Carol Scott-Connor, and Dr Jesse Dirksen, the previous contributors to this monograph. SEC, HIV, CSC, and JD declare that they have no competing interests.

Peer reviewers VIEW ALL

Assistant Professor of Surgical Oncology

Stanford University

Stanford

CA

Disclosures

FD declares that he has no competing interests.

Consultant Medical Oncologist/Senior Lecturer

Imperial College Healthcare NHS Trust

Charing Cross Hospital

London

UK

Disclosures

JS declares that he has no competing interests.

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