In response to the" Guidelines for the management of breast lumps" produced by surgeons
in the Department of Surgery of the University of Toronto, and published in the December …

1998; 41 [6]: 476-7). To issue algorithms or guidelines without the supporting rationale or
evidence is not a valid exercise. To understand what is involved in developing guidelines, I …

OBJECTIVE: To describe an approach to managing women who present with palpable
breast lumps. QUALITY OF EVIDENCE: Databases were searched from 1990 to 1998 using …

I and my colleagues wish to reassure Dr. Gately that this guideline is consistent with those
that already exist. 1 We have adapted it to the perspective of a primary care physician and …

Some doctors and most patients describe all nonmalignant breast lumps as cysts. In fact,
only a minority of such lesions are true cysts (ie, sacs containing liquid). Diagnostic accuracy …

Many women are subjected to unnecessary mutilation of their breasts in an over zealous
endeavour to remove lumps. On the other hand it is vitally important to regard all breast …

I recently reviewed a case in which the family physician attributed a breast thickening in a 40-
year-old woman that did not regress after several months and had no counterpart in any …

SINCE the pioneer work of Halstead and Meyer on surgery of the breast, the advances have
been few in comparison with surgery of the other organs. However, the percentage of five …

I clearly remember the day I came home from school and found my mother in tears. She
cried all evening but would not tell me why. It went on that way for a week. Then one day she …