Breast Lumps

 

Although many people will automatically associate finding a breast lump with cancer the vast majority of breast lumps are not caused by breast cancer.  There are are many causes of breast lumps; the most common causes include normal swelling and tenderness during the menstrual cycle, fibroadenoma, breast cysts, infection, fat necrosis, lipoma, and breast cancer

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Definition

Any new lump in the breast

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Exclude Red Flag Symptoms

If any of the following apply, refer via the Breast Suspected Cancer e-Referral Form:

  • Discrete lump in woman aged 30 or over
  • Associated ulceration, skin nodule, skin distortion or palpable axillary lymph nodes
  • Unilateral firm subareolar mass in men aged 50 or more
  • Associated erythema or redness of the breast tissue
  • Increase in size or change in character of a pre existing or previously investigated lump

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Management

Asymmetric nodularity should be reassessed after 6 weeks and referred if persistent

Young women <35 with long standing painful lumpy breasts and older women with symmetrical nodularity (if not a localized abnormality) can be managed in Primary Care with reassurance and review

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Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

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