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Breast mass

  • Benign ddx (age 20-50)

    • fibrocystic change
    • fibroadenoma
    • fat necrosis (mimicks cancer)
    • intraductal papilloma (bloody discharge)
    • simple cyst
    • galactocele
    • lactational adenoma
    • mastitis
    • abscess
  • Malignant ddx

    • ductal carcinoma
    • lobular carcinoma
    • inflammatory carcinoma
    • Paget's disease
    • phyllodes tumor
  • Labs

    • ultrasound if < 30 yo
    • mammogram if > 30 yo
    • FNA if cystic
    • core or excision biopsy if solid
    • ductogram if discharge
  • Premalignant ddx

    • DCIS
    • LCIS
  • HPI/ROS

    • onset
    • discharge
    • location
    • pain
    • fever
  • PMH, PSH, PGynH

  • FH

    • breast cancer, ovarian cancer
  • SH

  • Meds

  • Allergies

  • Px

    • vitals
    • inspection, skin overlying lesion
    • palpation
    • location
    • depth
    • size
    • feel: firm vs soft, rubbery, mobile vs nonmobile, smooth vs lumpy
    • tender vs nontender

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.