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When further assessment is indicated, women are referred to a breast team of a nearby hospital.
The women recruited in the study had been referred to a breast diagnostic centre for a second look.
A UK study by Campbell et al. [ 15] prospectively gathered data on 2064 patients referred to a breast unit over a 12 month period.
Moyle et al. reported a 30% rate of malignancy in patients referred to a breast clinic for assessment of incidental breast lesions detected on CT.
The women were either referred to a breast diagnostic centre for a second look due to some irregularity of the initial screening mammogram (n = 69) or due to clinical findings (n = 83).
Women referred to a breast cancer family service whose family histories meet or exceed these criteria are offered regular surveillance from age 35 (or 5 years younger than the earliest age of disease onset in a relative).
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Every such patient should be referred to a qualified breast surgeon for definitive diagnosis.
We reviewed prospective audit data from patients referred to a symptomatic breast unit with the aim of introducing a referral schema based upon symptoms, age and relative risk of cancer.
All new patients referred to a specialist breast unit by their general practitioners from 1 January 2001 to 31 December 2003 were identified using a dedicated database.
Women referred to a familial breast cancer clinic completed questionnaires before and after counselling and at annual follow-up to assess their risk estimate and psychological characteristics.
The benign:malignant ratio in our study (1 19) is higher than that reported in a similar UK study where the ratio of benign to malignant detections was 1 13 in women referred to a symptomatic breast clinic [ 8].
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