- Women should be strongly encouraged to examine their breasts monthly. - Breast examination by the physician should be performed in good light so as to see retractions and other skin changes.. - The nipple and areolae should be inspected, and an attempt should be made to elicit nipple discharge. - All regional lymph node groups should be examined, and any lesions should be measured. - In premenopausal women, lesions that are either equivocal or nonsuspicious on physical examination should be reexamined in 2–4 weeks, during the follicular phase of the menstrual cycle. - A dominant mass in a postmenopausal woman or a dominant mass that persists through a menstrual cycle in a premenopausal woman should be aspirated by fine-needle biopsy or referred to a surgeon. - Second, fine-needle aspiration should be used only in centers that have proven skill in obtaining such specimens and analyzing them. - Subtle abnormalities that are first detected by screening mammography should be evaluated carefully by compression or magnified views
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