Breast cancer physical examination: Difference between revisions
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{{Breast cancer}} | {{Breast cancer}} | ||
{{CMG}} {{AE}}{{MGS}} | {{CMG}} {{AE}}{{MGS}} | ||
==Overview== | ==Overview== | ||
Patients with breast cancer usually are generally well appearing. Physical examination of patients with breast cancer is usually remarkable for lump in the breast, peau d'orange, and inverted nipple. | |||
==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
* Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.<ref name = PE> Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016</ref><ref name = ss> Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016</ref> | * Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.<ref name = PE> Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016</ref><ref name = ss> Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016</ref> | ||
===Neck=== | ===Neck=== | ||
Enlarged supraclavicular lymph nodes | Enlarged supraclavicular lymph nodes | ||
===Breast=== | ===Breast=== | ||
*Lump | *Lump | ||
| Line 24: | Line 22: | ||
*Crusting, ulcers or scaling on the nipple - in Paget's disease of breast | *Crusting, ulcers or scaling on the nipple - in Paget's disease of breast | ||
*Discharge from nipple - mostly bloody | *Discharge from nipple - mostly bloody | ||
===Respiratory=== | ===Respiratory=== | ||
Signs of metastasis | Signs of metastasis | ||
*Pleural effusion | *Pleural effusion | ||
*Consolidation | *Consolidation | ||
===Abdomen=== | ===Abdomen=== | ||
Signs of metastasis to liver | Signs of metastasis to liver | ||
| Line 35: | Line 31: | ||
*Hepatomegaly | *Hepatomegaly | ||
*Ascites | *Ascites | ||
===Extremity=== | ===Extremity=== | ||
Signs of metastasis | Signs of metastasis | ||
*Bone tenderness | *Bone tenderness | ||
*Pathological fractures | *Pathological fractures | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Signs of metastasis | Signs of metastasis | ||
Revision as of 00:59, 8 March 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]
Overview
Patients with breast cancer usually are generally well appearing. Physical examination of patients with breast cancer is usually remarkable for lump in the breast, peau d'orange, and inverted nipple.
Physical Examination
General Appearance
- Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.[1][2]
Neck
Enlarged supraclavicular lymph nodes
Breast
- Lump
- may be attached to the skin or chest wall and cannot be moved.
- The lump may feel hard, irregular in shape and very different from the rest of the breast tissue
- The lump may be tender, but it is usually not painful.
- Dimpling of the skin
- Peau d'orange
- thickening and dimpling of the skin
- Change in size of affected breast
- Inverted nipple
- Redness, swelling and increased warmth - in Inflammatory breast cancer
- Crusting, ulcers or scaling on the nipple - in Paget's disease of breast
- Discharge from nipple - mostly bloody
Respiratory
Signs of metastasis
- Pleural effusion
- Consolidation
Abdomen
Signs of metastasis to liver
- Jaundice
- Hepatomegaly
- Ascites
Extremity
Signs of metastasis
- Bone tenderness
- Pathological fractures
Neuromuscular
Signs of metastasis
- Headache
- Seizure
- Personality change
- Papilloedema
References
- ↑ Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016
- ↑ Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016