Surgical evaluation for breast mass

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The Editorial to this article has been published in Breast Cancer Research 20 Current techniques for intra-operative assessment of tumor margins are insufficient in accuracy or resolution to reliably detect small tumors. Multi-modal spectral histopathology MSHa multimodal imaging technique combining tissue auto-fluorescence and Raman spectroscopy was used to detect microscopic residual tumor at the surface of the excised breast tissue.

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A breast lump deserves medical attention. Know what to expect during a clinical breast exam — and what happens when a lump needs further evaluation. That's understandable.

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This is a corrected version of the article that appeared in print. A thorough clinical breast examination, imaging, and tissue sampling are needed for a definitive diagnosis. Fine-needle aspiration is fast, inexpensive, and accurate, and it can differentiate solid and cystic masses.

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A more recent article on common breast problems is available. Related Editorial. Patients should be evaluated initially with a detailed clinical history and physical examination.

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A breast lump is a mass that develops in the breast. Breast lumps vary in size and texture and may cause pain. Some are not found until a physical or imaging exam.

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With widespread use of mammography for breast cancer screening, the number of surgical procedures has also increased. Overlapping with radiographic signs of malignancy, including masses, areas of asymmetric density and architectural distortion, microcalcifications, and skin thickening, postsurgical changes may make mammographic evaluation difficult. After tumor excision and irradiation where breast alterations are more profound and prolonged, the task of distinguishing recurrent tumor from scarring or fat necrosis is even more challenging.

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A more recent article on common breast problems is available. See related patient information handout on breast painwritten by Amy S. Weichel, D.

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Andrew M. Even though cancer is rare in this age group, all masses should be evaluated by palpation and ultrasonographic imaging performed by an expert, according to this population-based study. Breast carcinoma in young women. Obstet Gynecol.

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Arch Surg. Each component of the triple test was assigned 1, 2, or 3 points for a benign, suspicious, or malignant result, respectively, yielding a total triple test score TTS. One hundred fifty-two masses had a TTS of 4 points or lower; all were benign.

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