The presentation and management of breast symptoms in general practice in South Wales. The BRIDGE Study Group.

Although there is increasing interest in the primary care management of breast disorders, there are few data on their presentation and management. This study recorded presentation rates of breast symptoms in 34 general practices in South Wales. These ranged from 1.9 to 14.8 patients per GP per year (median = 6.5): 46.4% with breast lump, 28.2% with breast pain, 16.2% with lumpiness and 5.5% with nipple discharge. Fifty-five per cent of all patients were referred, substantially more than previously recorded. Some referrals for breast disease may be 'inappropriate' according to current management guidelines.