MRI for ammmographically and ultrasound negative palpable breast mass – pro
A biopsy is required for any palpable breast mass. Alterhatively, the literature suggests that when both mammography and ultrasound are negative,m the risk of malignancy is around 2.5% and it can just be observed. MRI is rarely indicated to evaluate a clinically detected finding. Biopsy is indicated for masses with suspicious features. Short-term follow-up is a reasonable alternative to biopsy for solid masses with probably benign features suggesting fibroadenoma. ACR says: ” MRI is rarely indicated to evaluate a clinically detected finding. A biopsy is indicated for masses with suspicious features. Short-term follow-up is a reasonable alternative to biopsy for solid masses with probably benign features suggesting fibroadenoma. ”
Harvey, Jennifer A. et al. ACR Appropriateness Criteria Palpable Breast Masses. Journal of the American College of Radiology, Volume 10, Issue 10, 742 – 749.e3
S E Leung et al, New Palpable Breast Lump With Recent Negative Mammogram: Is Repeat Mammography Necessary? AJR 2016, 207, Issue 1