TOPIC: Breast cancer management
ANSWER: Surgical excision
EXPLANATION:
It is important to be familiar with BIRADS management
BIRADS 0
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Recall for additional images
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Await prior images
BIRADS 1 -- Routine screening
BIRADS 2 -- Routine screening
BIRADS 3
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Short-term follow-up (6 months)
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No change q 6 months for 2 years 🡪
BIRADS 4 -- Tissue diagnosis
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If benign 🡪 6 month follow up
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If high risk 🡪 Surgical excision if clinically indicated
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Cancer 🡪 Surgical excision if clinically indicated
BIRADS 5 -- Tissue diagnosis
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If “benign” 🡪 Discordant 🡪 Surgical excision indicated
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If high risk 🡪 Surgical excision if indicated
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Cancer 🡪 Surgical excision if indicated
BIRADS 6 -- Surgical excision if clinically indicated
