Algorithm for Breast Lump Management - Flowchart
Algorithm for Breast Lump Management - Flowchart Breast Lump Breast Lump
«Flowchart»

Breast lump

Breast lump

Breast lump

Aspirate

Aspirate

Aspirate

History and clinical examination

History and clinical examination

History and clinical examination

Imaging:


Age <30—ultrasonography (US)
Age ≥30—diagnostic mammogram and US

Imaging:


Age <30—ultrasonography (US)
Age ≥30—diagnostic mammogram and US

Imaging:


Age <30—ultrasonography (US)
Age ≥30—diagnostic mammogram and US


Age <30—ultrasonography (US)
Age ≥30—diagnostic mammogram and US ≥

Cyst

Cyst

Cyst

Solid

Solid

Solid

Follow-up in 6 mo

Follow-up in 6 mo

Follow-up in 6 mo

Aspirate (follow-up 1 mo)

Aspirate (follow-up 1 mo)

Aspirate (follow-up 1 mo)

Follow-up in 3-6 mo

Follow-up in 3-6 mo

Follow-up in 3-6 mo

No recurrence

No recurrence

No recurrence

Recurrence

Recurrence

Recurrence

End

End

End

Recurrence

Recurrence

Recurrence

Excise

Excise

Excise

Local and systemic therapy

Local and systemic therapy

Local and systemic therapy

Adjuvant therapy

Adjuvant therapy

Adjuvant therapy

Continued screening

Continued screening

Continued screening

Biopsy (core needle or FNA)

Biopsy (core needle or FNA)

Biopsy (core needle or FNA)

Benign

Benign

Benign

Atypia

Atypia

Atypia

DCIS

DCIS

DCIS

Invasive

Invasive

Invasive

Excise

Excise

Excise

ADH/ALH

ADH/ALH

ADH/ALH

DCIS

DCIS

DCIS