Breast

Question 1

Urgent referral ofpatients withbreast disease (to be seen in <2wk by a breast cancer specialist) is required for men and women:

Answer 1

• aged ≥30y with any unexplained breast lump ± pain or unexplained lump in the axilla

• aged ≥50y with any of the following symptoms in 1 nipple only:
• Discharge
• Retraction
• Other changes of concern

• Skin changes that suggest breast cancer, e.g. unilateral nipple eczema that does not respond to topical treatment, peau d’orange

Question 2

Consider non- urgent referralif

Answer 2

• <30y with an unexplained breast lump ± pain

* Breast pain and no palpable abnormality, when initial treatment fails and/ or symptoms persist