Age 30 y — observe for resolution over 1-2 menstrual cycles
Age 30 y. unchanging mass — U/S — aspiration if mass not simple cyst
Age 30 y or solid mass on U S or bloody aspirate or recurrence after aspiration mammo (detect other lesions) and either fine-needle aspir. or core-needle bx Clearly cancerous on exam or indeter. read atypia on needle bx - excisional bx
• Suspicious mammogram with normal exam: stereotactically-guided bx
• MRI: detects contralateral cancer in 3% of women w/ recently dx breast cancer &
negative contralateral mammogram (but PPV only 21%) (NE/M 2007:3S6:1295); whether to use routinely remains unclear
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