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Breast Pain Management
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Cyclic/bilateral usually benign; noncyclic/focal warrants imaging.
Decision
Outcome
Decision
Breast pain pattern?
✓
Cyclic, bilateral, diffuse
✓
Noncyclic, unilateral, focal
Decision
Mass on exam?
✓
Yes → imaging
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No → observe (reassurance, supportive bra, NSAIDs)
Decision
Imaging?
✓
Abnormal → biopsy
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Normal → observe
Outcome
Image-guided biopsy; manage by histology
Outcome
Reassurance, supportive bra, NSAIDs; reassess if change
Decision
Mass on exam?
✓
Yes → biopsy and referral to breast surgeon
✓
No → imaging
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