Nodular or lumpy breasts

Nodular or lumpy breasts

Patients who present with painful tender nodularity with mastalgia should be treated for breast pain, as outlined in Table 58.2 . Patients with breast nodularity without pain should undergo triple assessment ( Figure 58.2 ). The Cardi ff –Lucknow nodu larity scale – a five-point ordinal scale that grades the nodular ity on a scale of 0 to 4, providing an objective measur ement of nodularity – has been developed and validated ( Figure 58.13 In the absence of a discrete lesion on breast imaging, reassur ance may be given. If necessar y , treatment with an antioestro gen such as tamoxifen or ormeloxifene (Centchroman) has been found to control nodularity within a few weeks.