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Breast Problems, Common [2013 update]

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Step Status
Release Date: Wed, 1/1/20
Termination Date: Thu, 12/31/20
Credits: 1
Description: Little scientific information is available on evaluation and management of women who present to their primary care physicians with breast problems. While most disorders are benign, the possibility of breast cancer is always a concern. This CME activity helps clinicians improve their knowledge and clinical strategies for the diagnosis and treatment of four common breast problems:
  • Palpable mass
  • Breast pain with a negative exam
  • Nipple discharge without abnormal findings
  • Assessment and management of women at high risk for breast cancer.

New to this updated guideline are:
  • Somewhat simpler algorithms for palpable mass and for nipple discharge
  • Initial evaluation of galactorrhea:
    • Rule out medical illnesses (e.g., hypothryoidism, prolactinoma) and medications as a cause
    • Manage and reassure patient.
  • Special populations:
    • Pregnant women with breast complaints
    • Men with breast problems, pain, enlargment, mass
    • The augmented breast, special problems and considerations
  • Breast cancer screening for high risk women is addressed in UMHS cancer screening guideline
Educational Objectives: Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of common breast problems in non-pregnant adults.
Target Audience: This self-study activity is appropriate for adult primary care clinicians and other health care providers involved in the diagnosis and treatment of breast problems in adults.
Accreditation Information: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Original Release Date: June 2013
Termination Date: September 2022

Continued availability of CME credit for this activity depends on a thorough review of its content every three years. This activity was last reviewed for currency and accuracy in September 2019, and availability of CME credit continued.
Additional Info: Authors:
Monica M. Dimagno, MD; General Internal Medicine
R Van Harrison, PhD; Medical Education
Lisa A. Newman, MD; Surgical Oncology
Ebony C. Parker-Featherstone MD; Family Medicine
Mark Pearlman, MD; Obstetrics & Gynecology
Mark Helvie, MD; Radiology/Breast Imaging

Financial Disclosure Information:
There are no financial relationships to disclose for this CME activity.

UMHS Guidelines Oversight Team:
Grant Greenberg, MD, MA, MHSA
R. Van Harrison, PhD

Literature Search Services:
Taubman Medical Library

Credits available:

AMA PRA Category 1: 1.00
Participation: 1.00