Breast lumps differential diagnosis: Difference between revisions
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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> | 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 | **Associated with following factors<ref name="pmid11560983">{{cite journal| author=Collyar DE| title=Breast cancer: a global perspective. | journal=J Clin Oncol | year= 2001 | volume= 19 | issue= 18 Suppl | pages= 101S-105S | pmid=11560983 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11560983 }} </ref>: | ||
}</ref> | |||
***Geographical area | ***Geographical area | ||
*** [[age]] | *** [[age]] | ||
| Line 43: | Line 36: | ||
**Symptomatic [[cysts]] are often seen in women age 30 years to early 50 years | **Symptomatic [[cysts]] are often seen in women age 30 years to early 50 years | ||
**If menopausaed women may be present due to [[hormone replacement therapy]] (HRT) | **If menopausaed women may be present due to [[hormone replacement therapy]] (HRT) | ||
==References== | ==References== | ||
Revision as of 15:21, 2 January 2019
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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.
Breast 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 radiotherapy
- Associated with following factors[2]:
- Inflammatory lumps:[3][4]
- Associated to personal habit and disease pattern:
- Infective lumps
- Non-infective lumps such as chronic granulomatous infection
- 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 tumor 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 30 years 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.
- ↑ Collyar DE (2001). "Breast cancer: a global perspective". J Clin Oncol. 19 (18 Suppl): 101S–105S. PMID 11560983.
- ↑ 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.