The plan of management for breast lumps recommended by Dr. Mahoney and his colleagues (see page 476) is reasonable. Considering that most breast lumps are not cancerous, primary care physicians should be able to carry out the initial management of such lumps, including needle aspiration.
If a woman has felt a lump in her breast, her physician should ask her to demonstrate it before concluding that there is or is not a lump present. In my experience this action has led me to discover lumps that I initially could not detect.
If the physician cannot feel a lump, I believe that diagnostic mammography should be encouraged, with a follow-up visit in 4 to 6 months, in all women …
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