Breast lumps physical examination: Difference between revisions
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*Physical examination of patients should perform both in sitting position and supine position to examine breast abnormalities <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> | *Physical examination of patients should perform both in sitting position and supine position to examine breast abnormalities <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> | ||
Appearance of the patient | '''Appearance of the patient''' | ||
* Patients with breast lumps usually appear well | * Patients with breast lumps usually appear well | ||
Vital signs | Vital signs | ||
| Line 17: | Line 17: | ||
*HEENT examination of patient with breast lumps is usually normal | *HEENT examination of patient with breast lumps is usually normal | ||
Neck | Neck | ||
*Lymphadenopathy maybe present in | *[[Lymphadenopathy]] maybe present in [[Cervical|cervica]]<nowiki/>l and [[supraclavicular]] lymph nodes and determination of size, mobility and number are essential | ||
Lungs | Lungs | ||
*Pulmonary examination of patients with breast lumps is usually normal | *Pulmonary examination of patients with [[breast lumps]] is usually normal | ||
Heart | Heart | ||
*Cardiovascular examination of patients with breast lumps is usually normal | *Cardiovascular examination of patients with breast lumps is usually normal | ||
Breast <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 <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 examination must consider 4 quadrant parts of both breast while patients are in sitting position and supine position | *Breast examination must consider 4 quadrant parts of both breast while patients are in sitting position and supine position | ||
*General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses | *General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses | ||
*Size, location, shape, mobility, consistency and number of lesions should be mentioned | *Size, location, shape, mobility, consistency and number of lesions should be mentioned | ||
*Axillary lymph nodes must be examined for adenopathy | *Axillary lymph nodes must be examined for [[adenopathy]] | ||
*Examination of nipple discharge | *Examination of nipple discharge | ||
**From one duct or multiple ducts | **From one duct or multiple ducts | ||
**Presence or absence of galactorrhea | **Presence or absence of [[galactorrhea]] | ||
**Presence or absence of blood | **Presence or absence of blood | ||
**Type of discharge such as being clear, viscous, watery or bloody | **Type of discharge such as being clear, viscous, watery or bloody | ||
Revision as of 21:19, 7 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
- Physical examination of patients should perform both in sitting position and supine position to examine breast abnormalities [1]
Appearance of the patient
- Patients with breast lumps usually appear well
Vital signs
- Patients with breast lumps usually have normal vital signs
Skin
- Patients' breast skin may develop with dimpling, redness and peaud'orange particularly in inflammatory breast cancer
HEENT
- HEENT examination of patient with breast lumps is usually normal
Neck
- Lymphadenopathy maybe present in cervical and supraclavicular lymph nodes and determination of size, mobility and number are essential
Lungs
- Pulmonary examination of patients with breast lumps is usually normal
Heart
- Cardiovascular examination of patients with breast lumps is usually normal
- Breast examination must consider 4 quadrant parts of both breast while patients are in sitting position and supine position
- General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses
- Size, location, shape, mobility, consistency and number of lesions should be mentioned
- Axillary lymph nodes must be examined for adenopathy
- Examination of nipple discharge
- From one duct or multiple ducts
- Presence or absence of galactorrhea
- Presence or absence of blood
- Type of discharge such as being clear, viscous, watery or bloody
- Determination of chest wall pain
- Examination of costochondral junction
- Examination of lateral chest wall while the patient is lying down at 90 degrees on her side in order to move the breast away
- Comparison of pain from chest wall and breast tissue
Abdomen
- Abdomen examination of patients with breast lumps is usually normal
Back
- Back examination of patients with breast lumps is usually normal
Genitourinary
- Genitourinary examination of patients with breast lumps is usually normal
Neuromuscular
- Neuromuscular examination of patients with breast lumps is usually normal
Extremities
- Extremities of patients with breast lumps is usually normal
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/