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REFERRAL
GUIDE LINES
Guidelines
for referrals to breast specialists.
It is
easy to differentiate at the extremes of the disease range, but full range
of diagnostic assessment may be required in a large percentage of patients
to confirm or rule out malignancy. The purpose of publishing any guidelines
is improve the understanding between local general practitioners and specialist
units in the management plan. When a patient presents with a breast problem
the important question for the general practitioner is , ' Is there a
chance of breast cancer, and, if not, does she need referral to the breast
unit?'
Please
click an option below to veiw referral guide lines.
Conditions
requiring referral to specialist breast unit.
| Lumps |
Mastalgia |
Nipple
Discharge |
Nipple
Retraction |
Family
History |
All
new lumps.
New lumps in a patient with known nodularity.
Cyst persistently filling/recurrent cyst.
Asymmetrical nodularity.
Abscess. |
Associated
with a lump.
Intractable mastalgia.
Unilateral persistent pain in postmenopausal patient.
Anxious patient. |
All
women aged over 50 years.
Younger patients with blood stained discharge.
Patients with troublesome bilateral discharge.
Persistent single duct discharge. |
Recent
retraction or change in direction.
Moist red area not responding to treatment. |
<
60 years with one first degree or two or more second degree relatives.
Anxious patient with insignificant family history for counselling. |
If
you require further advice or information please contact the
Macmillan Breast Care Nurses, Hazel Ricard and Hilary Rickwood on 020
8565 5885
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