Knowledge Summaries of Comprehensive Breast Cancer Control: Diagnosis: Clinical Assessment, Diagnostic Imaging and Staging

A clinical assessment of breast complaints is a crucial first step in breast cancer diagnosis. Diagnosis requires an efficient referral process and timely coordination of services that include: 1) initial presentation for evaluation of a breast complaint, to include a medical history and a clinical breast exam (CBE); 2) imaging studies; 3) biopsy of suspicious lesions; 4) pathology (histology/cytology) studies and 5) return visit to review the results of diagnostic studies and to discuss a treatment plan. A lack of coordination of care and poor patient access to care can cause delays in definitive diagnosis and initiation of treatment, with the potential to negatively influence outcomes.