QuestionSBA
QuestionChoice
This may form part of the management of suspected breast cancer. The NICE guidelines recommend a two-week wait referral for suspected breast cancer for an unexplained breast lump in patients aged 30 or above.
10035918
b
Urgent 2-week wait referral to a breast specialist
QuestionChoice
Some large fibroadenomas may be excised as per the patient's wishes.
10035921
e
Refer for excision
QuestionChoice
This is correct. Fibroadenomas are common benign tumours of breast duct tissue. They are typically small and mobile within the breast tissue, and are not concerning. [NICE guidance](https://cks.nice.org.uk/topics/breast-cancer-recognition-referral/) advises to **consider** non-urgent referral in people aged under 30 years with an unexplained breast lump with or without pain, though not all lumps will be referred
10035917
a
Reassure
QuestionChoice
This may be required in cases of mastitis which do not self-resolve or in which a nipple fissure is present.
10035920
d
Prescribe oral antibiotics
QuestionChoice
This may form part of the management of a breast abscess in primary care.
10035919
c
Urgent same-day referral for incision and drainage
QuestionComment
I thought you send all possible fibroadenomas to 2ww and let the breast surgeons sort it out?
52032
QuestionComment
<30yr with breast lump is a routine referral
53472
User
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Ambiguous Genitalia
QuestionComment
sba routine isnt an option - reassure

60620
User
subscriber
Malignant Syndrome
User
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Transplant Retrograde
QuestionComment
Refer  no one has x ray eyes to just reassure this is a safety issue 
53628
User
subscriber
Tyrosine Sclerosis
Concept
Chapter
2693
6166
Fibroadenoma
Topic
151
Breast Disease
19587
According to NICE guidelines, fibroadenomas should be assessed with clinical examination and imaging, and if they are asymptomatic and stable, routine monitoring is usually recommended, while biopsy or surgical removal may be considered for large, painful, or uncertain cases.
A 24-year-old woman comes to the GP worried about a breast lump. Examination reveals a smooth, round 1cm lump in the left breast which is mobile and painless.

What is the most appropriate management?
a