What criteria indicate an urgent 2-week referral to the breast clinic?

A 2-week referral to the breast clinic is warranted when a patient over the age of 30 presents with a new, unexplained breast or axillary lump accompanied by changes such as skin dimpling, retraction, or unexplained discharge. This criterion is vital because breast cancer risk increases with age, and any new lump in this demographic raises significant concern for malignancy. The prompt referral allows for timely assessment, diagnostic imaging, and intervention if necessary, ensuring that any potential cancer is addressed quickly.

In contrast, while breast pain in patients under 30 can be concerning, it typically does not qualify for urgent referral unless associated with other alarming signs. Men with breast lumps certainly should be evaluated, but the urgency may depend on context and specific symptoms. Lastly, patients with a history of breast cancer but currently without symptoms may need monitoring, but they do not necessitate the same immediate referral as a new, suspicious lump. Thus, the criteria for an urgent referral focus on new and unexplained findings that prompt further investigation due to the potential risk of breast cancer.