Breast cancer physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===General Appearance=== | ===General Appearance=== | ||
* Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.<ref name = PE> Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016</ref><ref name = ss> Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016</ref> | * Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.<ref name="PE">Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016</ref><ref name="ss">Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016</ref> | ||
===Neck=== | ===Neck=== | ||
Enlarged supraclavicular lymph nodes | Enlarged [[Supraclavicular lymph nodes|supraclavicular]] [[Lymph node|lymph nodes]] | ||
===Breast=== | ===Breast=== | ||
*Lump | *Lump | ||
:* | :*May be attached to the skin or chest wall and cannot be moved. | ||
:*The lump may feel hard, irregular in shape and very different from the rest of the breast tissue | :*The lump may feel hard, irregular in shape and very different from the rest of the breast tissue | ||
:*The lump may be tender, but it is usually not painful. | :*The lump may be [[Tenderness (medicine)|tender]], but it is usually not painful. | ||
*Dimpling of the skin | *Dimpling of the skin | ||
*Peau d'orange | *[[Peau d'orange]] | ||
:* | :*Thickening and dimpling of the skin | ||
*Change in size of affected breast | *Change in size of affected breast | ||
*Inverted nipple | *Inverted nipple | ||
*Redness, swelling and increased warmth - in Inflammatory breast cancer | *Redness, swelling and increased warmth - in Inflammatory breast cancer | ||
*Crusting, ulcers or scaling on the nipple - in Paget's disease of breast | *Crusting, ulcers or scaling on the nipple - in Paget's disease of breast | ||
*Discharge from nipple - mostly bloody | *[[Discharge]] from nipple - mostly bloody | ||
===Respiratory=== | ===Respiratory=== | ||
Signs of metastasis | Signs of metastasis | ||
*Pleural effusion | *[[Pleural effusion]] | ||
*Consolidation | *[[Consolidation (medicine)|Consolidation]] | ||
===Abdomen=== | ===Abdomen=== | ||
Signs of metastasis to liver | Signs of metastasis to liver | ||
*Jaundice | *[[Jaundice]] | ||
*Hepatomegaly | *[[Hepatomegaly]] | ||
*Ascites | *[[Ascites]] | ||
===Extremity=== | ===Extremity=== | ||
Signs of metastasis | Signs of metastasis | ||
*Bone tenderness | *Bone tenderness | ||
*Pathological fractures | *Pathological [[Bone fracture|fractures]] | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
Signs of metastasis | Signs of metastasis | ||
*Headache | *[[Headache]] | ||
*Seizure | *[[Seizure]] | ||
*Personality change | *[[Personality change due to another medical condition|Personality change]] | ||
*Papilloedema | *[[Papilledema|Papilloedema]] | ||
==References== | ==References== |
Revision as of 12:53, 2 April 2019
Breast Cancer Microchapters |
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Breast cancer physical examination On the Web |
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Risk calculators and risk factors for Breast cancer physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mirdula Sharma, MBBS [2]
Overview
Patients with breast cancer usually are generally well appearing. Physical examination of patients with breast cancer is usually remarkable for lump in the breast, peau d'orange, and inverted nipple.
Physical Examination
General Appearance
- Patients with breast cancer are generally well appearing.Patients are generally oriented to time, place, and person.[1][2]
Neck
Enlarged supraclavicular lymph nodes
Breast
- Lump
- May be attached to the skin or chest wall and cannot be moved.
- The lump may feel hard, irregular in shape and very different from the rest of the breast tissue
- The lump may be tender, but it is usually not painful.
- Dimpling of the skin
- Peau d'orange
- Thickening and dimpling of the skin
- Change in size of affected breast
- Inverted nipple
- Redness, swelling and increased warmth - in Inflammatory breast cancer
- Crusting, ulcers or scaling on the nipple - in Paget's disease of breast
- Discharge from nipple - mostly bloody
Respiratory
Signs of metastasis
Abdomen
Signs of metastasis to liver
Extremity
Signs of metastasis
- Bone tenderness
- Pathological fractures
Neuromuscular
Signs of metastasis
References
- ↑ Breast Cancer. Ganfyd (2015) http://www.ganfyd.org/index.php?title=Breast_cancer#Presenting_Symptoms Accessed on january 16, 2016
- ↑ Breast cancer. Canadian Cancer Society (2015) http://www.cancer.ca/en/cancer-information/cancer-type/breast/signs-and-symptoms/?region=on#ixzz3xScycfqv Accessed on January 16, 2016