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Williams Gynecology
| Section 1 Benign General Gynecology > |
Evaluation of a Breast Lump
Sections: Physical Examination, Diagnostic Imaging, Breast Imaging Reporting and Data System, Breast Biopsy, Triple Test, Cysts, Fibroadenoma, Phylloides Tumors.
Topics Discussed: biopsy of breast; breast cyst; breast diseases; breast imaging reporting and data system; breast mass; fibroadenoma; phyllodes tumor.
Excerpt:"It is not possible to distinguish benign from malignant or cystic from solid breast masses by clinical examination. However, findings from clinical examination, interpreted in conjunction with imaging and pathology (the triple test), contribute significantly to management decisions (Hermansen, 1987).The breast is comma shaped, and the comma's tail corresponds to the axillary tail of Spence. This extension can be large, especially during pregnancy and lactation, and is frequently mistaken for an axillary mass.Diagnostic imaging results should be summarized according to the Breast Imaging Reporting and Data System (BI-RADS) classification (Table 12-1) (D'Orsi, 1998). Lesions that are graded BI-RADS 5 are highly suggestive of malignancy, and  95 percent of these are ultimately proved to be cancerous. Decreasing numerical grades are associated with diminishing probability of malignancy...."
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