ABC of Breast Diseases : Symptoms Assessment and Guidelines for Referral

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Abstract
“Bathsheba bathing” by Rembrandt. The model was Rembrandt's mistress, and much discussion has surrounded the shadowing in her left breast and whether this represents an underlying malignancy. A breast lump, which may be painful, and breast pain constitute over 80% of the breast problems that require hospital referral, and breast problems constitute up to a quarter of the general surgical workload. View this table: Prevalence of presenting symptoms in patients attending a breast clinic #### Conditions that require hospital referral ### Patients who can be managed at least initially by their general practitioner When a patients presents with a breast problem the basic question for the general practitioner is, “Is there a chance that cancer is present, and, if not, can I manage these symptoms myself?” For patients presenting with a breast lump, the general practitioner should determine whether the lump is discrete or is an area of lumpiness or nodularity. A discrete lump stands out …

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