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For many breast problems, especially in younger patients or patients presenting with mastalgia only, reassurance and a period of watchful waiting may be suitable.
Breast pain is not usually associated with malignancy. It is a common symptom and, if of short duration with no other clinical concern, may be managed initially in a primary care setting. Studies show that breast pain often settles with 3-6 months.
Minor or moderate degree of breast pain with no discrete palpable abnormality, when initial treatment fails and/or with unexplained persistent symptoms need to be referred as non-urgent.
Cyclical breast pain in the younger patient does not need to be referred and can be managed supportively.
“In the presence of a normal physical examination, simple breast pain is not associated with an increased risk of cancer. There is an excellent training resource via this link which is endorsed by all breast specialists in Devon and Cornwall. You can also read the joint statement on the management of breast pain issued by the association of breast surgery here.
“In the presence of a normal physical examination, simple breast pain is not associated with an increased risk of cancer. There is an excellent training resource via this link which is endorsed by all breast specialists in Devon and Cornwall. You can also read the joint statement on the management of breast pain issued by the association of breast surgery here.
Investigations in patients presenting with symptoms and/or signs suggestive of breast cancer prior to referral is not recommended.
“In the presence of a normal physical examination, simple breast pain is not associated with an increased risk of cancer. There is an excellent training resource via this link which is endorsed by all breast specialists in Devon and Cornwall. You can also read the joint statement on the management of breast pain issued by the association of breast surgery here.
This guideline has been signed off on behalf of NHS Devon.
Publication date: September 2019
Updated: July 2023