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CHICAGO -- Abiopsy should always be considered when a breast lump is detected, even if the woman is young, pregnant, or lactating according to Dr. John Knaus.
Breast cancer is the leading diagnosis that ob.gyns. are sued for missing.
This is not surprising since the patient' characteristics that most often lead to missed breast cancer, such as youth or pregnancy, present themselves over and over throughout the day in ob.gyn. offices, said Dr. Knaus, a gynecologic oncologist who specializes in breast disease at St. Francis Hospital at Evanston, Ill.
Dr. Knaus shared the following tips for preventing missed breast cancer diagnoses at the annual meeting of the Central Association of Obstetricians and Gynecologists:
* Forget about the patient's age. "If a woman has breasts, she can get breast cancer," he said. "I cannot tell you how many times a patient has testified in court saying that her doctor told her that it couldn't be breast cancer because she was too young.
As many as 40% of all breast cancers occur in patients younger than age 50. Nearly 60% of all malpractice suits alleging failure to diagnose breast cancer involve patients under 45.
"These are the patients who represent a significant problem for us, and yet they're the patients that we see every day," he said.