Common Breast Problems

This is a clinical practice guideline for adults aged 18 and over. The guideline reviews appropriate management and referral of patients presenting with common breast problems, including palpable mass or asymmetric thickening/nodularity on clinical exam, inflammation and other skin changes, breast pain with negative physical exam, and nipple discharge without abnormal exam findings. Management of special populations including pregnant women, men, and patients with augmented breasts, is also discussed. Outcomes of interest include sensitivity, specificity, and positive predictive value of diagnostic tests, and incidence of breast cancer.