Breast lumps physical examination: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(3 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Breast lumps}}
{{Breast lumps}}
Please help WikiDoc by adding more content here.  It's easy!  Click  [[Help:How_to_Edit_a_Page|here]]  to learn about editing.
{{CMG}} {{AE}} {{S.M}}  
 
{{CMG}} {{AE}} {{S.M}}
== Overview==
== Overview==
Physical examination of patients with [[breast lumps]] should perform both in sitting position and supine position to examine  all 4 quadrants of breast. Careful physical examination may lead to diagnosis. Breast physical exam should include information about, number, size, location, shape, mobility, consistancy of masses, nipple discharge, and axillary [[lymph nodes]] should be examined as well.
Physical examination of patients with [[breast lumps]] should perform both in sitting position and supine position to examine  all 4 quadrants of breast. Careful physical examination may lead to diagnosis. Breast physical exam should include information about, number, size, location, shape, mobility, consistancy of masses, nipple discharge, and axillary [[lymph nodes]].


== Physical Examination ==  
== Physical Examination ==  


Physical examination of patients should perform both in sitting position and supine position to examine breast abnormalities. <ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845  }} </ref>
Physical examination of patients should be perform both in sitting position and supine position to examine breast abnormalities.<ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845  }} </ref>
 
=== Appearance of the patient ===
* Patients with [[breast lumps]] usually appear well.


=== Vital signs ===
*Patients with [[breast lumps]] usually have normal [[Vital signs (medicine)|vital signs]].


Appearance of the patient
=== Skin ===
*Patient's breast skin may develop with dimpling, redness, and peau d' Orange particularly in inflammatory [[breast cancer]].


* Patients with [[breast lumps]] usually appear well.
=== HEENT ===
Vital signs
*Patients with [[breast lumps]] usually have normal [[Vital signs (medicine)|vital signs]].
Skin
*Patients' breast skin may develop with dimpling, redness and peaud'orange particularly in inflammatory [[breast cancer]].
HEENT
*HEENT examination of patient with breast lumps is usually normal.
*HEENT examination of patient with breast lumps is usually normal.
Neck
 
*[[Lymphadenopathy]] maybe present in [[Cervical|cervica]]<nowiki/>l and [[supraclavicular]] [[lymph nodes]] and determination of size, mobility and number are essential.
=== Neck ===
Lungs
*[[Lymphadenopathy]] maybe present in [[Cervical|cervica]]<nowiki/>l and [[supraclavicular]] [[lymph nodes]] and determination of size, mobility, and number are essential.
*Pulmonary examination of patients with [[breast lumps]] is usually normal.
 
Heart
=== Lungs ===
* Pulmonary examination of patients with [[breast lumps]] is usually normal.
 
=== Heart ===
*Cardiovascular examination of patients with breast lumps is usually normal.
*Cardiovascular examination of patients with breast lumps is usually normal.
Breast <ref name="pmid25114845">{{cite journal| author=Shah R, Rosso K, Nathanson SD| title=Pathogenesis, prevention, diagnosis and treatment of breast cancer. | journal=World J Clin Oncol | year= 2014 | volume= 5 | issue= 3 | pages= 283-98 | pmid=25114845 | doi=10.5306/wjco.v5.i3.283 | pmc=4127601 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25114845  }} </ref> <ref>Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/</ref>


*Breast examination must consider 4 quadrant parts of both breast while patients are in sitting position and supine position.
=== Breast  ===
*Breast examination must consider all 4 quadrants of both breast while patients are in sitting position and supine position.<ref name="pmid25114845" /><ref>Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/</ref>
*General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses.  
*General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses.  
*Size, location, shape, mobility, consistency and number of lesions should be mentioned.
*Size, location, shape, mobility, consistency, and number of lesions should be mentioned.
*Axillary [[lymph nodes]] must be examined for [[adenopathy]]
*Axillary [[lymph nodes]] must be examined for [[adenopathy]].
*Examination of nipple discharge
*Examination of nipple discharge:
**From one duct or multiple ducts
**From one duct or multiple ducts
**Presence or absence of [[galactorrhea]]
**Presence or absence of [[galactorrhea]]
**Presence or absence of blood
**Presence or absence of blood
**Type of discharge such as being clear, viscous, watery or bloody
**Type of discharge such as being clear, viscous, watery or bloody
*Determination of chest wall pain
*Determination of chest wall tenderness:
**Examination of [[costochondral]] junction  
**Examination of [[costochondral]] junction  
**Examination of lateral chest wall while the patient is lying down at 90 degrees on her side in order to move the breast away
**Examination of lateral chest wall while the patient is lying down at 90 degrees on her side in order to move the breast away
**Comparison of pain from chest wall and breast tissue
**Comparison of pain from chest wall and breast tissue
Discrete solitary breast lump:  
'''Discrete solitary breast lump:'''
*Firm and rubbery lump in women<30 years is in favor of:
*Firm and rubbery lump in women <30 years is suggestive of:
**[[Fibroadenoma]]
**[[Fibroadenoma]]
*Firm and discrete lump in women aged 30-50 years is suggestive of:
*Firm and discrete lump in women aged 30-50 years is suggestive of:
Line 52: Line 54:
**[[Atypical]] ductal [[hyperplasia]]
**[[Atypical]] ductal [[hyperplasia]]
**Atypical lobular [[hyperplasia]]
**Atypical lobular [[hyperplasia]]
*Firm and discrete lump in women> 50 years is in suggestive of:
*Firm and discrete lump in women > 50 years is suggestive of:
**[[Cyst]]
**[[Cyst]]
**Invasive cancer
**Invasive cancer
**[[Ductal carcinoma in situ]]
**[[Ductal carcinoma in situ]]
Abdomen
 
=== Abdomen ===
*Abdomen examination of patients with breast lumps is usually normal.
*Abdomen examination of patients with breast lumps is usually normal.
Back
 
=== Back ===
*Back examination of patients with breast lumps is usually normal.
*Back examination of patients with breast lumps is usually normal.
Genitourinary
 
=== Genitourinary ===
*Genitourinary examination of patients with breast lumps is usually normal.
*Genitourinary examination of patients with breast lumps is usually normal.
Neuromuscular
 
=== Neuromuscular ===
*Neuromuscular examination of patients with breast lumps is usually normal.
*Neuromuscular examination of patients with breast lumps is usually normal.
Extremities
 
=== Extremities ===
*Extremities of patients with breast lumps is usually normal.
*Extremities of patients with breast lumps is usually normal.


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}


[[Category:primary care]]
[[Category:Up-To-Date]]
[[Category:Disease]]
[[Category:Musculoskeletal Disease]]
[[Category:Physical examination]]
[[Category:Needs content]]
[[Category:Needs overview]]
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Surgery]]
[[Category:Surgery]]

Latest revision as of 20:42, 29 July 2020

Breast lumps Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Breast lumps from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Breast lumps physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Breast lumps physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Breast lumps physical examination

on Breast lumps physical examination

Breast lumps physical examination in the news

Blogs on Breast lumps physical examination

Directions to Hospitals Treating Breast lumps

Risk calculators and risk factors for Breast lumps physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

Physical examination of patients with breast lumps should perform both in sitting position and supine position to examine all 4 quadrants of breast. Careful physical examination may lead to diagnosis. Breast physical exam should include information about, number, size, location, shape, mobility, consistancy of masses, nipple discharge, and axillary lymph nodes.

Physical Examination

Physical examination of patients should be perform both in sitting position and supine position to examine breast abnormalities.[1]

Appearance of the patient

Vital signs

Skin

  • Patient's breast skin may develop with dimpling, redness, and peau d' Orange particularly in inflammatory breast cancer.

HEENT

  • HEENT examination of patient with breast lumps is usually normal.

Neck

Lungs

  • Pulmonary examination of patients with breast lumps is usually normal.

Heart

  • Cardiovascular examination of patients with breast lumps is usually normal.

Breast

  • Breast examination must consider all 4 quadrants of both breast while patients are in sitting position and supine position.[1][2]
  • General inspection of both breast for probable findings of nipple changes, asymmetric changes and notable masses.
  • Size, location, shape, mobility, consistency, and number of lesions should be mentioned.
  • Axillary lymph nodes must be examined for adenopathy.
  • Examination of nipple discharge:
    • From one duct or multiple ducts
    • Presence or absence of galactorrhea
    • Presence or absence of blood
    • Type of discharge such as being clear, viscous, watery or bloody
  • Determination of chest wall tenderness:
    • Examination of costochondral junction
    • Examination of lateral chest wall while the patient is lying down at 90 degrees on her side in order to move the breast away
    • Comparison of pain from chest wall and breast tissue

Discrete solitary breast lump:

Abdomen

  • Abdomen examination of patients with breast lumps is usually normal.

Back

  • Back examination of patients with breast lumps is usually normal.

Genitourinary

  • Genitourinary examination of patients with breast lumps is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with breast lumps is usually normal.

Extremities

  • Extremities of patients with breast lumps is usually normal.

References

  1. 1.0 1.1 Shah R, Rosso K, Nathanson SD (2014). "Pathogenesis, prevention, diagnosis and treatment of breast cancer". World J Clin Oncol. 5 (3): 283–98. doi:10.5306/wjco.v5.i3.283. PMC 4127601. PMID 25114845.
  2. Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/


Template:WikiDoc Sources