Breast lumps history and symptoms: Difference between revisions

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VisualWikitext

Latest revision as of 20:42, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

The important key to breast lumps diagnosis is history and physical exams. History must be complete and include all details regarding to age, parity, pregnancy, past history of breast diseases, familial history, and drug history. Common symptoms of breast lumps include breast pain, palpable mass, nipple discharge, galactorrhea.

History and Symptoms

History

By clinical history, the cancer risk can be evaluated:^[1]

Age at menarche
Menopausal status
Number of pregnancies
Previous history of radiation
History of oral contraceptives or hormone replacement therapy
Past history of breast cancer and age at time of diagnosis
Familial history of breast cancer or ovarian cancer in first-degree relatives
Other associated breast disease or possible biopsies

Symptoms

Symptoms of breast lump include:^[1]^[2]

Breast Pain
- Cyclic pain
  - Occurring at the late luteal phase of menstrual cycle, relieving at the onset of menstrual phase
- Non- cyclic pain
  - Fat necrosis from trauma
  - Stretching cooper's ligament
  - Mastitis (focal or periductal)
  - Cyst
  - Mondor's disease
  - Hidradenitis suppurativa
- Non-breast pain
  - Chest-wall pain
    - Tietz syndrome
  - Non chest-wall pain
    - Gallbladder disease
    - Ischemic heart disease
Palpable breast mass
- Usually unilateral
Nipple discharge
- Presence of galactorrhea
  - Hyperprolactinemia from pituitary tumor
  - Hyperthyroidism
  - Drugs
- Absence of galactorrhea
  - From one duct
  - From multiple ducts
    - Fibrocyctic changes
    - Ductal ectasia
Malaise
Body pain
Weight loss

References

↑ ^1.0 ^1.1 Shah R, Rosso K, Nathanson SD (2014). "Pathogenesis, prevention, diagnosis and treatment of breast cancer". World J Clin Oncol. 5 (3): 283–98. doi:10.5306/wjco.v5.i3.283. PMC 4127601. PMID 25114845.
↑ Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/

Template:WikiDoc Sources

[pmid25114845-1] 1.0 ^1.1 Shah R, Rosso K, Nathanson SD (2014). "Pathogenesis, prevention, diagnosis and treatment of breast cancer". World J Clin Oncol. 5 (3): 283–98. doi:10.5306/wjco.v5.i3.283. PMC 4127601. PMID 25114845.

[2] Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/

[1]

[2]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Breast lumps}}
-{{CMG}}
-== History and Symptoms ==
+{{CMG}} {{AE}} {{S.M}}
-* Characteristics of lump:
-*:* Location and duration of its presence, changes in size
+== Overview ==
-*:* Associated [[nipple discharge]]
+The important key to breast lumps diagnosis is history and physical exams. History must be complete and include all details regarding to age, [[parity]], [[pregnancy]], past history of breast diseases, [[familial history]], and drug history. Common symptoms of breast lumps include breast pain, palpable mass, [[nipple discharge]], [[galactorrhea]].
-*:* Changes with [[menstrual cycle]]
-*:*:* Cysts tend to be more prominent
+== History and Symptoms ==
-*:* Premenstrually and may regress during follicular phase
-*:* Tenderness
+=== History ===
-*:*:* Rapidly developing cysts may be tender
+By clinical history, the cancer risk can be evaluated:<ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845  }} </ref>
-* Prior history of breast cancer or breast biopsy (atypical hyperplasia on prior biopsy most worrisome)
+*Age at [[menarche]]
+*[[Menopausal|Menopausa]]<nowiki/>l status
+*Number of [[pregnancies]]
+*Previous history of [[radiation]]
+*History of [[Oral contraceptive|oral contraceptives]] or [[hormone replacement therapy]]
+*Past history of [[breast cancer]] and age at time of diagnosis
+*Familial history of [[breast cancer]] or [[ovarian cancer]] in first-degree relatives
+*Other associated breast disease or possible biopsies
+=== Symptoms ===
+Symptoms of [[breast lump]] include:<ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845  }} </ref><ref>Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/</ref>
+* Breast Pain
+**Cyclic pain
+*** Occurring at the late [[luteal]] phase of [[menstural|menstrual]] cycle, relieving at the onset of [[menstural|menstrual]] phase
+**Non- cyclic pain
+***[[Fat necrosis]] from [[trauma]]
+***Stretching cooper's ligament
+***[[Mastitis]] (focal or periductal)
+***[[Cyst]]
+***[[Mondor's disease]]
+***[[Hidradenitis suppurativa]]
+**Non-breast pain
+***Chest-wall pain
+**** [[Tietz syndrome]]
+***Non chest-wall pain
+****[[Gallbladder disease]]
+****[[Ischemic heart disease]]
+*Palpable breast mass
+**Usually unilateral
+*Nipple discharge
+**Presence of [[galactorrhea]]
+***[[Hyperprolactinemia]] from [[pituitary tumor]]
+***[[Hyperthyroidism]]
+***[[Drugs]]
+**Absence of [[galactorrhea]]
+***From one duct
+**** [[Intraductal papilloma]]
+****[[Ductal carcinoma in situ]]
+****[[Paget's disease]]
+***From multiple ducts
+****Fibrocyctic changes
+****Ductal [[ectasia]]
+*[[Malaise]]
+*Body pain
+*[[Weight loss]]
 ==References==
 {{reflist|2}}
 {{WikiDoc Help Menu}}
 {{WikiDoc Sources}}
-[[Category:primary care]]
+[[Category:Up-To-Date]]
-[[Category:Disease]]
-[[Category:Musculoskeletal Disease]]
 [[Category:Oncology]]
-[[Category:Signs and symptoms]]
+[[Category:Gynecology]]
-[[Category:Physical examination]]
+[[Category:Surgery]]
-[[Category:Needs overview]]