Outpatient care organization for women with benign breast dysplasia: current state of the problem.

<jats:p>Benign breast dysplasia (BBD) is the most common breast pathology, affecting predominantly women of working and reproductive age, and – in its proliferative and atypical forms – a condition associated with an increased risk of breast cancer. The principal burden of detection, follow-up and referral of these patients falls on the outpatient (primary care) level, which makes the organizational aspects of care no less important than the clinical ones. Aim: to summarize current evidence on the clinical, epidemiological and oncological significance of BBD, on established approaches to diagnosis and surveillance, on the regulatory and organizational framework of care in the Russian Federation, on international experience, and on issues of patient routing, inter-service coordination and the medico-social factors that affect the effectiveness of care. Material and methods. An analytical review of Russian and international publications of 2023–2025, current clinical guidelines and regulatory acts concerning the organization of care for benign breast disease. Results. At the outpatient level a fairly clear clinical algorithm has been established, based on age-differentiated use of imaging, standardized BI-RADS assessment and the routing derived from it. Its effectiveness, however, is limited by organizational conditions: availability of diagnostics in primary care, physicians’ oncological alertness, coverage by preventive examinations and the quality of inter-service coordination. A multilevel regulatory framework exists in the Russian Federation, yet a high proportion of late-stage detection, fragmented inter-service coordination and territorial variability persist. International experience demonstrates the effectiveness of multidisciplinary breast units, standardized integrated (triple-assessment) diagnostics and risk-adapted de-escalation. Conclusion. The key unresolved issue remains the absence of an integrated model of routing and inter-service coordination adapted to the specifics of BBD, one that would ensure continuity of surveillance and account for the medico-social determinants of care-seeking and adherence.</jats:p>