Breast disorder
Terms
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- Diagnostic tests for breast disorders
- mammogram, Ultrasound, Breast biopsy
- The American Cancer society and NCI recommend a BSE beginning at the age of ____ and a mammogram q 1-2 years at the age of ______ and yearly after the age of ______.
- 18,40,50
-
Breast exam by health professional
Age 20-40 q _______years
Annually if Family Hx Breast CA
Known BRCA gene abnormality
Age 40 and above every year - 3
- Mastalgia is __________ with two types ___________ and ________________.
-
breast pain
cyclic
non-cyclic - Cyclic mastalgia is r/t hormonal sensitivity can be described as
- diffuse breast tenderness or heaviness
- non-cyclic mastalgia is r/t trauma, fat necrosis or duct ectasia can be described as
- burning aching and soreness
- What diagnostic test is done to rule out cancer and provide the cause of mastalgia
- Mammography
- What is the recommended tx for mastalgia
- decrease caffeine and dietary fat, taking Vit. E, A and B, primrose oil, and a support bra
- What is the most common etiology of a breast infection?
- lactation
- Mastitis is an
- inflammatory condition of the breast that occurs most frequently in lactating women
- Manifestations of mastitis
- a localized area that is erythematous, painful and tender to palpatation and fever.
- the recommended tx for lactational breast abscess
- antibiotics, surgical incision and drainage with culture.
- Collaborative care for infections
-
Antibiotics - Staph common
Continue breastfeeding unless purulent drainage
Monitor fever
Palpable mass - I & D
R/O inflammatory breast cancer - Fibrocystic Breast Changes
-
Benign, Pain, nodularity
Most of pts. not at increased CA risk
Often age 35 to 50
Often decreases post-menopause, unless HRT
Mammogram, Ultrasound - a breast cyst can be _______ or ________
- palpable mass or a non-palpable mass
- Most common breast mass (lumps) found in young women
- fibroadenoma
- fiberadenoma
-
Surgical excision
Cryosurgery
Teaching for regular BSE
Not altered by radiation, hormone RX