Key Treatment

Vacuum aspiration is safe, quick to perform, and less painful than sharp curettage and recommended in the management of incomplete abortion (Forna and Gulmezoglu, 2001) (SOR: B). The triple test of (1) careful clinical examination, (2) mammogram or ultrasound, and (3) fine-needle aspiration of a breast mass approaches the false-negative rate of surgical breast biopsy and the false-positive rate of frozen section (National Breast Cancer Centre, 2006) (SOR: B).

If bloody fluid is obtained on an atraumatic breast mass aspirate or if a lump remains after drainage, the patient is referred for surgical consult for core or open biopsy (National Breast Cancer Centre, 2006) (SOR: B).

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