Show Summary Details
Page of

Breast assessment: making the diagnosis 

Breast assessment: making the diagnosis
Breast assessment: making the diagnosis

James Harvey

, Sue Down

, Rachel Bright-Thomas

, John Winstanley

, and Hugh Bishop

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 03 July 2022

Breast assessment. Patients referred to a symptomatic breast clinic should have their clinical and imaging investigations performed in one visit. Thus the majority of referrals can be clinically assessed, imaged, reassured and discharged in one visit. This chapter outlines the set-up of a successful diagnostic clinic to improve clinic flow. Referral criteria for the rapid diagnostic/symptomatic breast clinic are given along with those problems which can be managed in primary care. In addition, common waiting time targets are listed (with reference to the quality measures required). The most common problems seen in the breast clinic are described with a thorough explanation of ‘triple assessment’, clinical tips for the trainee and notes on the importance of concordance. The indications for each type of breast imaging are described with the Royal College of Radiology Breast Group guidelines and the advantages and disadvantages of mammography, ultrasound and MRI scan are discussed. A guide is given to selecting the appropriate pathological investigation and, finally, a variety of miscellaneous investigations are mentioned with a guide to further reading.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.