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Breast lumps – Information for GPs

Referral criteria / commissioning position

via ‘2 week wait’ rule route

  • Discrete lump in woman aged 30 or over
  • Associated ulceration, skin nodule, skin distortion or palpable axillary lymph nodes
  • Unilateral firm sub areolar mass in men aged 50 or more
  • Associated erythema or redness of the breast tissue
  • Increase in size or change in character of a pre-existing or previously investigated lump

via routine route:

  • Asymmetric nodularity reassessed after 6 weeks if persistent

Investigations prior to referral


Information to include in referral letter

  • Site and duration of lump
  • Details of treatments and measures tried including outcomes
  • Relevant past medical/surgical history such as breast or ovarian cancer
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption

Patient information

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