Breast cancer is diagnosed in approximately 180,000 women per year in the US. It is the most common cancer in women and the second leading cause of cancer death. A. Mass duration change in menstrual cycle change over time pain B. Prior history of breast problems C. Gravidity/Parity age at first birth D. Menopausal status If s/p hysterectomy, was oophrectomy performed? E. Age at menarche F. Exogenous hormones oral contraceptives postmenopausal hormone replacement duration G. Family History age at diagnosis of breast cancer bilateral? GYN malignancy
H. Personal history of other malignancy A. Mass location size tenderness well-circumscribed? fixed to skin or chest wall smooth B. Nodes axillary supraclavicular infraclavicular C. Nipple discharge bloody? excoriation (Paget's) D. X-ray
IV/V. ASSESSMENT/PLAN
Most patients with benign breast biopsy are at minimal to no increased risk of breast carcinoma, excluding other risk factors. Exceptions include atypical
There are options of therapy depending on the size of the tumor, nodal status, and other factors. A. All women should have yearly physical examination, including breast examination, by a health care provider. B. Screening mammograms should be performed as above. C. Women at high risk for developing breast cancer (previous cancer, strong family history, etc.) and women with difficult to follow breast exams should be seen more often for exam by a health care provider and may need mammography more often than recommended by the screening guidelines above.Surgery 1996
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