Little scientific information is available on evaluation and management of women who present to their primary care physicians with breast problems.  While most disorders are benign, the possibility of breast cancer is always a concern.  This CME activity helps clinicians improve their knowledge and clinical strategies for the diagnosis and treatment of four common breast problems: 

• Palpable mass
• Breast pain with a negative exam
• Nipple discharge without abnormal findings
• Assessment and management of women at high risk for breast cancer. 

New to this updated guideline are:

• The primary care physician’s role in determining patient’s risk for developing breast cancer
• The initial evaluation of galactorrhea

This self-study activity is appropriate for adult primary care clinicians and other health care providers involved in the diagnosis and treatment of breast problems in adults.

Team Leader	Amy F Saunders, MD      General Internal Medicine
Team Members	R Van Harrison, PhD     Medical Education Lisa A Newman, MD     Surgical Oncology Mark Helvie, MD      Radiology/Breast Imaging Amy B Locke, MD      Family Practice Mark Pearlman, MD       Obstetrics & Gynecology
Author Disclosures	No member of the Breast Problems Guideline Team has relationships with commercial companies whose products are discussed in this guideline.

UMHS Guidelines Oversight Team:	William E. Chavey, MD R Van Harrison, PhD
Literature search services:	Taubman Medical Library
Production of Internet format and web site maintenance:	Ellen Patrick-Dunlavey