Image-Guided Core Biopsy Breast There is no relevant literature to support the use of image-guided core biopsy as the initial imaging workup in women <30 years of age with a palpable mass. Image-Guided Fine Needle Aspiration Breast There is no relevant literature to support the use of image-guided FNAB as the initial imaging workup in women <30 years of age with a palpable mass. Mammography Diagnostic Because of the low incidence of breast cancer (<1%) in younger women, the recommended initial imaging differs from older patients [41-44]. Younger women tend to have relatively denser breast tissue [45], which is associated with decreased mammographic/DBT sensitivity [46]. Most benign lesions in young women are not visualized on mammography [41,43]. Diagnostic mammography is not useful as the initial imaging modality in younger women. Mammography Screening In women presenting with signs or symptoms, including a palpable breast mass, screening mammography is not useful as the initial imaging study. Screening mammography is provided to women without signs or symptoms of breast disease. Palpable Breast Masses MRI Breast There is no relevant literature to support the use of the use of MRI of the breast with or without IV contrast as the initial imaging workup in women <30 years of age with a palpable mass [2,23-25]. Sestamibi MBI There is no relevant literature to support the use of the use of Tc-99m sestamibi MBI as the initial imaging workup in women <30 years of age with a palpable mass. Variant 7: Adult female, younger than 30 years of age. Palpable breast mass. US findings are suspicious or highly suggestive of malignancy (BI-RADS 4 or 5). Next imaging study. Digital Breast Tomosynthesis Diagnostic DBT may be useful in a woman <30 years of age with a suspicious sonographic finding that correlates to a palpable mass.
Palpable Breast Masses. Image-Guided Core Biopsy Breast There is no relevant literature to support the use of image-guided core biopsy as the initial imaging workup in women <30 years of age with a palpable mass. Image-Guided Fine Needle Aspiration Breast There is no relevant literature to support the use of image-guided FNAB as the initial imaging workup in women <30 years of age with a palpable mass. Mammography Diagnostic Because of the low incidence of breast cancer (<1%) in younger women, the recommended initial imaging differs from older patients [41-44]. Younger women tend to have relatively denser breast tissue [45], which is associated with decreased mammographic/DBT sensitivity [46]. Most benign lesions in young women are not visualized on mammography [41,43]. Diagnostic mammography is not useful as the initial imaging modality in younger women. Mammography Screening In women presenting with signs or symptoms, including a palpable breast mass, screening mammography is not useful as the initial imaging study. Screening mammography is provided to women without signs or symptoms of breast disease. Palpable Breast Masses MRI Breast There is no relevant literature to support the use of the use of MRI of the breast with or without IV contrast as the initial imaging workup in women <30 years of age with a palpable mass [2,23-25]. Sestamibi MBI There is no relevant literature to support the use of the use of Tc-99m sestamibi MBI as the initial imaging workup in women <30 years of age with a palpable mass. Variant 7: Adult female, younger than 30 years of age. Palpable breast mass. US findings are suspicious or highly suggestive of malignancy (BI-RADS 4 or 5). Next imaging study. Digital Breast Tomosynthesis Diagnostic DBT may be useful in a woman <30 years of age with a suspicious sonographic finding that correlates to a palpable mass.