The breast surgeon should define the diagnostic tools and frequency of regular breast examination.
The decision make criteria are the existence of cancer risk factors, the age, the breast density, the findings of previous tests and some of the previous biopsies. The major breast cancer risk factor is heredity and the stronger it is, the regular breast examination should start in younger age and be performed more frequently and by all available tests.
Young age and great breast density necessitates on occasions the use of magnetic tomography of the breast together with ultrasound and digital mammography. Patients with previous biopsies for precancerous lesions need also more frequent testing.
In case of a suspicious lesion found on regular tests the breast surgeon should decide which is the best form of biopsy between fine needle aspiration(FNA) -cytology, core biopsy, mammotome, breast lesion excision system biopsy(BLES) – histology examination at the outpatients department and an open biopsy in theatre.