Breast lumps history and symptoms

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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]

History and Symptoms

History

By clinical history, the cancer risk can be evaluated:

• 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:

• 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
    • Mondors's disease
    • Hidradenitis supporativa
  • Non-breast pain
    • Chest-wall pain
      • Tietz syndrome
    • Non chest-wall pain
      • Gall bladder disease
      • Ischemic heart disease
• 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

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