1. Primary Care management of breast lump in females younger than 30 years without personal or family history of breast/ ovarian cancer
Discrete lump <30 mm
Lump > 30mm
Diffuse nodularity/ thickening
Direct referral by GP for USS
Re-examine the patient in 4-6 weeks following her next menstrual period and if persistent, refer for direct USS.
Any concerns or associated breast symptoms such as bloody nipple discharge/changes in breast shape or size/skin changes.
Imaging confirms benign breast condition
GP reassures and advises patient to monitor and return if increases in size
Refer 2 week wait.
Any concerns or associated breast symptoms such as pain or other nipple discharge
Increasing in size
Routine referral to Breast clinic