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The diagnostic evaluation.

Douglas J Marchant¹

¹Department of Obstetrics and Gynecology, The Breast Health Center, Women and Infants Hospital, Providence, Rhode Island 02905-2499, USA.

Obstetrics and Gynecology Clinics of North America

|March 15, 2002

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Diagnostic evaluation for breast disease has evolved, with imaging guiding biopsies. Primary care physicians should refer patients to specialists for optimal care.

Area of Science:

Oncology
Radiology
Pathology

Background:

Diagnostic evaluation confirms disease extent.
Historically relied on physical exams.
Recent advancements have transformed diagnostic approaches.

Purpose of the Study:

To outline current diagnostic evaluation strategies for breast disease.
To highlight the shift towards minimally invasive techniques.
To guide primary care physicians in patient referral.

Main Methods:

Initial assessment includes detailed patient history and physical examination.
Abnormal findings on mammography or ultrasound frequently prompt further investigation.
Image-guided biopsies have largely superseded open biopsies for tissue diagnosis.

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Main Results:

Diagnosis is often initially suspected through advanced imaging.
Minimally invasive image-guided biopsies are now standard.
The diagnostic pathway emphasizes specialized and multidisciplinary assessment.

Conclusions:

Current diagnostic evaluation relies heavily on imaging and image-guided biopsies.
Primary care physicians play a crucial role in timely referral.
Specialist or multidisciplinary breast center referral ensures comprehensive management.