Mastalgia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Physical Examination

  • Thorough breast exam
    • Best performed 7-9 days after onset of menses in premenopausal patients
    • Should be performed with patient in both lying and sitting positions
  • Goals
    • Note any masses
    • Identify any localized areas of tenderness - correlation to patient symptoms
    • Identify any axillary or supraclavicular LAN
    • Detect skin changes, edema, erythema, or nipple discharge
  • Fibrocystic changes
    • Lumpy or doughy consistency with no well-defined masses
  • Fibroadenoma
    • Well-defined, mobile mass
    • May be multiple
  • Suspicious characteristics of a palpable mass
    • Single lesion
    • Hard, immobile
    • Irregular border
    • Size > 2 cm

References


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