Five Things Physicians and Patients Should Question in Benign Breast Disease

American Society of Breast Surgeons

1. Don’t routinely excise areas of psuedoangiomatous stromal hyperplasia (PASH) of the breast in patients who are not having symptoms from it.

2. Don’t routinely surgically excise biopsy proven broadenomas that are smaller than 2 centimeters in size.

3. Don’t routinely operate for a breast abscess without an initial attempt to percutaneously aspirate or drain it.

4. Don’t perform screening mammography in asymptomatic patients with normal exams who have less than 5-year life expectancy.

5. Don’t routinely drain non-painful fluid-filled breast cysts.

Source: https://www.astro.org/uploadedFiles/Main_Site/News_and_Media/News_Releases/2013/ASTRO%20ChoosingWisely%20List_FINAL_092313.pdf