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Published byBarnaby Jennings Modified over 9 years ago
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Manzano, Clairol Marcelo, Pamela Marcial, Karmi Margaret Matematico, Michelle Matias, Evangelyn Maulion, Marienelle
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1. Breast Lump 2. Age 3. Family History 4. Reproduction and Menstrual History 5. Radiation Exposure 6. Hormone Replacement Therapy 7. Oral Contraceptives 8. Body Mass Index
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Time of recognition Number Size Changes before menstruation Location Shape Borders Mobility Tenderness Pain
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Age = Breast Cancer risk Family History Relative Risk of Cancer: 1 st degree > 2 nd degree Sister > Mother Highest risk: (+) FH – Mother and Sister Early Menarche & Late Menopause Breast Cancer risk Nulligravidity is a risk Radiation Exposure = Breast Cancer risk HRT, Contraceptives, Obesity Estrogen Exposure = Breast Cancer risk
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Benign Lesion Malignant Lesion No skins changesSkin Dimpling No lymphadenopathyLymphadenopathy No nipple retractionsNipple Retractions No Peau d’ OrangePeau d’ Orange Soft / Rubbery ConsistencySolid/Hard Consistency MobileFixed/Immobile Well-defined bordersPoorly delineated borders Regular MarginsIrregular Margins
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FIBROADENOMA Benign fibroepithelial neoplasm from the terminal duct lobular unit of the breast Painless, firm, solitary, mobile Occurs in young women of child bearing years ▪ (20 to 30 years old) Size: 2 – 3 cm Borders: Well-defined Margins: Regular NOT PREMALIGNANT
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Mammography Indeterminate Mass with suspicion of cancer Pre-requisite prior BCT Follow-up after BCT and of contralateral breast Ultrasound Distinguish between solid and cystic masses Provide guidance for cyst aspiration or core biopsy For palpable mass that is partially or poorly seen on a mammogram
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Fine Needle Aspiration Biopsy Below 25 years old: OBSERVATION 25 to 35 years old: OBSERVATION/EXCISION Above 35 years old: EXCISION Follow up: PE and Mammography Cryoablation Treatment Alternative to open surgical removal of fibroadenoma
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History Physical Examination Bilateral Mammography Fine Needle Aspiration Biopsy Cytology
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