# Concern or Fear of Breast Cancer

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: Breast Cancer Screening in the Average-Risk Patient - StatPearls - NCBI Bookshelf (NBK556050) - https://www.ncbi.nlm.nih.gov/books/NBK556050/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GS93 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
CONCERN OR FEAR OF BREAST CANCER
Sources: Breast Cancer Screening in the Average-Risk Patient - StatPearls - NCBI Bookshelf
         (NBK556050) - https://www.ncbi.nlm.nih.gov/books/NBK556050/ · ICPC-3 (WONCA International
         Classification of Primary Care, 3rd edition) class GS93 - condition scope only, no dose ·
         No dose - referral pathway, no medicine given in primary care
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    A patient presenting with fear of breast cancer requires an empathetic clinical breast
            examination to exclude palpable masses, skin changes, or pathologic nipple discharge.
            Provide age-appropriate screening education (routine screening mammography starting at
            age 40 to 50 according to local guidelines) and reassure the patient if the physical
            examination is normal and risk factors are average. If high-risk features are present,
            such as strong family history of breast or ovarian cancer, refer to specialized genetics
            or breast clinics for formal risk assessment. - Refer
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      A patient presenting with fear of breast cancer requires an empathetic clinical breast
            examination to exclude palpable masses, skin changes, or pathologic nipple discharge.
            Provide age-appropriate screening education (routine screening mammography starting at
            age 40 to 50 according to local guidelines) and reassure the patient if the physical
            examination is normal and risk factors are average. If high-risk features are present,
            such as strong family history of breast or ovarian cancer, refer to specialized genetics
            or breast clinics for formal risk assessment.
   Caution  RED FLAG - Unilateral axillary lymphadenopathy: assess urgently and refer.
            No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - A palpable lump or skin change found on examination moves this to breast
            lump/mass instead; a strong family history warrants referral for genetic counselling.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement.

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