Breast cysts in older women can be managed similarly to those in younger
women except that mammography is part of the initial work-up
Solid masses should be excised if they are suspicious for malignancy either by clinical breast examination or by mammography,
or if they are not seen on mammography.
Masses that are not suspicious can be excised, biopsied with a core biopsy needle, or managed according to the triple diagnosis protocol. There is a 1% chance
of missing cancer by this approach
Women who have had a non-palpable breast lump identified on screening mammography need to undergo ultrasound to determine if it is cystic, and stereotactic or ultrasound-guided breast biopsy for histologic diagnosis.
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