Breast lumps differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
[ | [[Breast lumps]] must be differentiated from other diseases such as [[malignancy]], [[cysts]], [[inflammation]] and non-inflammatory solid lumps. | ||
Breasts symptoms such as [[nipple discharge]] and [[mastalgia]] require assessment as well <ref name="pmid15691804" />. | |||
==Differentiating Breast lumps from other Diseases== | ==Differentiating Breast lumps from other Diseases== | ||
[[ | Differential diagnosis of [[breast lumps]] include: <ref name="pmid15691804">{{cite journal| author=Cheung KL, Lam TP| title=Approach to a lump in the breast: a regional perspective. | journal=Asian J Surg | year= 2005 | volume= 28 | issue= 1 | pages= 65-70 | pmid=15691804 | doi=10.1016/S1015-9584(09)60264-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15691804 }} </ref> | ||
*Malignancy or breast cancer | *Malignancy or breast cancer | ||
**Associated with following factors:<ref>@article{Collyar2001BreastCA, | **Associated with following factors:<ref>@article{Collyar2001BreastCA, | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]
Overview
Breast lumps must be differentiated from other diseases such as malignancy, cysts, inflammation and non-inflammatory solid lumps.
Breasts symptoms such as nipple discharge and mastalgia require assessment as well [1].
Differentiating Breast lumps from other Diseases
Differential diagnosis of breast lumps include: [1]
- Malignancy or breast cancer
- Associated with following factors:[2]
- geographical area
- age
- ethnicity
- positive family history
- pathology results such as:
- Atypical ductal hyperplasia (ADH)
- Atypical lobular hyperplasia(ALH)
- Lobular carcinoma in situ(LCIS)
- Previous history of radiotherpy
- Associated with following factors:[2]
- Inflammatory lumps:[3][4]
- Associated to personal habit and disease pattern:
- Infective lumps
- Lactational mastitis or abscess
- Non-lactational mastitis
- Periductal mastitis in chronic smokers
- Lobular mastitis in tuberculosis and parasitic infection
- Non-infective lumps such as chronic granulomatous infection
- Infective lumps
- Associated to personal habit and disease pattern:
- Solid non-inflammatory lumps [5] [6]
- Related to age, geographical area and ethnicity
- Mostly fibroadenomas in women aged 20-30 years
- Phyllodes tumors are prevalent in various centers,racial groups in different frequencies
- Cysts[7]
- Related to age and usage of hormonal replacement therapy
- Symptomatic cysts are often seen in women age 30years to early 50 years
- If menopausaed women may be present due to hormone replacement therapy (HRT)
References
- ↑ 1.0 1.1 Cheung KL, Lam TP (2005). "Approach to a lump in the breast: a regional perspective". Asian J Surg. 28 (1): 65–70. doi:10.1016/S1015-9584(09)60264-5. PMID 15691804.
- ↑ @article{Collyar2001BreastCA, title={Breast cancer: a global perspective.}, author={Deborah E. Collyar}, journal={Journal of clinical oncology : official journal of the American Society of Clinical Oncology}, year={2001}, volume={19 18 Suppl}, pages={101S-105S} }
- ↑ Lang AP, Luchsinger IS, Rawling EG (1987). "Filariasis of the breast". Arch Pathol Lab Med. 111 (8): 757–9. PMID 3307689.
- ↑ Varghese R, Raghuveer CV, Pai MR, Bansal R (1996). "Microfilariae in cytologic smears: a report of six cases". Acta Cytol. 40 (2): 299–301. doi:10.1159/000333755. PMID 8629415.
- ↑ Alagaratnam, T.T. & Wong, J. World J. Surg. (1989) 13: 743. https://doi.org/10.1007/BF01658425
- ↑ Shukla HS, Kumar S (1989). "Benign breast disorders in nonwestern populations: Part II--Benign breast disorders in India". World J Surg. 13 (6): 746–9. PMID 2623884.
- ↑ Leung TN, Haines CJ, Chung TK (2001). "Five-year compliance with hormone replacement therapy in postmenopausal Chinese women in Hong Kong". Maturitas. 39 (3): 195–201. PMID 11574178.