1. Mammography is recommended as part of the evaluation of any woman age 35 or older who has a breast mass. Mammography misses 10 to 20 percent of clinically palpable breast cancers.
2. Solid masses with malignant or suspicious cytology should receive definitive therapy or biopsy. Masses that are not suspicious need careful follow-up. Breast lumps found to be benign on both FNAB and mammography have about 1 percent risk of being cancer.
3. Women who have had a non-palpable breast lump identified on screening mammography should have it evaluated. Women with mammogram readings highly suggestive of malignancy or with suspicious abnormalities need a core-needle or excisional biopsy.
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