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Diagnostic
tests are given to people who are suspected of having breast cancer, either because of symptoms they may be experiencing or a screening test result. Diagnostic tests are used to gather more information about the cancer to guide decisions about treatment.
History:
Physical
examination: which may point towards Ca breast and neccessitates further investigations
Mammogram : Diagnostic mammograms are used to diagnose breast disease in women who have breast symptoms (like a lump or nipple discharge) or an abnormal result on a screening mammogram. A diagnostic mammogram includes more images of the area of concern.
Usually
MRI Precontrast
With contrast
Subtraction
Ultrasound
has become a valuable tool to use along with mammography because it is widely available and less expensive
Also
called a galactogram, sometimes helps determine the cause of nipple discharge. In this test a very thin plastic tube is placed into the opening of the duct in the nipple that the discharge is coming from. A small amount of contrast medium is injected, which outlines the shape of the duct on an xray image and shows if there is a mass inside the duct.
Nipple
discharge exam:some of the fluid may be collected and looked at under a microscope to see if any cancer cells are in it. Ductal lavage and nipple aspiration: experimental test developed for women who have no symptoms of breast cancer but are at very high risk for the disease. But it may help give a more accurate picture of a woman's risk of developing it.
Confirmatory
test Fine needle aspiration biopsy Core needle biopsy Incisional biopsy Excisional biopsy Lymph node dissection and sentinel lymph node biopsy