Suspected Cancer: 2 Week Wait
- Discrete, hard lump ± fixation, ± skin tethering
- 30 years + with a discrete lump that persists post period / menopause
- Spontaneous unilateral bloody nipple discharge or which stains clothes
- Nipple retraction or distortion of recent onset (<3 months onset)
- Skin distortion / tethering / ulceration / Peau d'orange
- Unexplained lump in axilla
Cancer Less Likely
These symptoms are routinely managed by ERS A&G, please use this route prior to making a referral to the breast unit:
- Women aged < 30 years with a lump
- Patients with breast pain alone (no palpable abnormality)
- CONSIDER PRIMARY CARE MANAGEMENT FIRST:
See Mastalgia Pathway on Breast Pain Pathfinder
- CONSIDER PRIMARY CARE MANAGEMENT FIRST:
- Asymmetrical nodularity or thickening that persists at review after menstruation
- Infection or inflammation that fails to respond to antibiotics
- With unilateral eczematous skin of areola or nipple:
- CONSIDER PRIMARY CARE MANAGEMENT FIRST:
2 weeks topical treatment such as 0.1% mometasone
- CONSIDER PRIMARY CARE MANAGEMENT FIRST:
- Unilateral, spontaneous, nipple discharge that is persistent or troublesome
Asymptomatic but concerned about family history?
Please use the link below to see criteria for referral to FH Breast Clinic.
Significant Weight Loss Only?