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Palpable Breast Mass
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Age decides imaging modality.
Decision
Outcome
Decision
Palpable breast mass — age?
✓
<30 → ultrasound (± mammogram)
✓
≥30 → mammogram + ultrasound
Decision
Imaging finding?
✓
Simple cyst
✓
Complex cyst or solid mass → image-guided core biopsy
✓
Suspicious for malignancy → core biopsy
Outcome
Simple cyst — needle aspiration only if symptomatic
Outcome
Core needle biopsy under image guidance; manage by histology
If discordant imaging and biopsy, repeat biopsy or excisional biopsy.