1. If the physician does not concur with the patient regarding the presence of a mass, confirm that routine screening is up to date. Advise the patient to return if her concern or symptoms persist or change.
  2. If pregnant or not cycling monthly—but not later than two months—refer to a breast specialist.
  3. Patients should be informed about their options for image-guided core needle biopsy.
  4. Consider referral to surgeon for excision of mass >2cm.
  5. Ductal carcinoma in situ or invasive cancer.

See Also:

see breast pain

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