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NICE guidelines 2005

''Urgent'' (2WW)
    any breast lump with features suggestive of cancer (hard, tethered etc)
    any breast lump in a post-menopausal woman, regardless of features suggestive of cancer
    any breast lump in a women more than 30 years old without features suggestive of cancer but which persists after her next period
    if there is past history of breast cancer any breast lump should warrant urgent referral
    spontaneous unilateral bloody nipple discharge
    unilateral eczematous skin or nipple change that does not respond to topical treatment, or with nipple distortion of recent onset

''Non-urgent referrals''
    women < 30 years old who present with a breast lump with no features suggestive of cancer, no relevant family history and no change in the size of the lump