Clinical Case Database / Category: Patient Management

Breast lump investigation

Publication details

Habib Tafazal, Mehboob Mirza, Martin Sintler
Foundation Years Journal, volume 6, issue 4, p.49 (123Doc Education, London, April 2012)


Breast cancer is a major health problem and it has an increasing incidence worldwide. It is estimated that 1 in 8 women in the UK will develop breast cancer sometime during their life (1). A diagnosis of breast cancer can impact greatly on patients and their families. It is therefore imperative that through careful history taking, thorough examination, and targeted investigation, a diagnosis can be made and treatment started promptly. This case based discussion focuses on the investigation and management of a 36 year old patient presenting with a breast lump.

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Habib Tafazal (Corresponding author)

ST5 General Surgery,
Sandwell General Hospital

Mehboob Mirza

Consultant Breast and General Surgeon,
Sandwell General Hospital

Martin Sintler

Consultant Breast and General Surgeon,
Sandwell General Hospital


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3. Baum M, Schipper H. Fast Facts- Breast Cancer. Oxford UK: Health Press Limited 2002.
4. Dixon JM, Thomas J. Symptoms, assessment, and guidelines for referral. In: Dixon, JM ed. ABC of Breast Diseases, 3rd edn. Oxford UK: Blackwell Publishing 2006; 1- 8.
5. Gordon PB, Goldenberg S L. Malignant breast masses detected only by ultrasound- A retrospective review. Cancer 1995; 76: 626–630.
6. Breast cancer care. Invasive lobular breast cancer Factsheet. Available at (accessed December 20, 2011).
7. Kriege M, Brekelmans CTM, Boetes C, et al. Efficacy of MRI and Mammography for Breast-Cancer Screening in Women with a Familial or Genetic Predisposition. N Engl J Med 2004; 351: 427-37.
8. Mansel RE, Fallowfield L, Kissin M, et al. Randomized Multicenter Trial of Sentinel Node Biopsy Versus Standard Axillary Treatment in Operable Breast Cancer. J Natl Cancer Inst 2006; 98(9): 599–


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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