Resumo
Definição
History and exam
Key diagnostic factors
- presence of risk factors
- mastalgia
- diffuse symmetrical lumpiness through both breasts
Other diagnostic factors
- age 30 to 50 years
- nipple discharge
- palpable breast mass
Risk factors
- late-onset menopause
- later age at first childbirth
- nulliparity
- obesity
- oestrogen replacement therapy
Diagnostic investigations
1st investigations to order
- mammography
- breast ultrasound
Investigations to consider
- cyst aspiration
- breast biopsy
Treatment algorithm
mastalgia
nipple discharge
Contributors
Authors
Sonia Sugg, MD
Professor of Surgery
Division of Surgical Oncology and Endocrine Surgery
University of Iowa Hospitals and Clinics
Iowa City
IA
Disclosures
SS declares that she has no competing interests.
Ingrid Lizarraga, MBBS, FACS
Clinical Associate Professor
Division of Surgical Oncology and Endocrine Surgery
University of Iowa Hospitals and Clinics
Iowa City
IA
Раскрытие информации
IL declares that she has no competing interests.
Выражение благодарностей
Dr Sonia Sugg and Dr Ingrid Lizarraga would like to gratefully acknowledge Dr Sophia Fu, Dr Sarah E. Colwick, Dr Hernan I. Vargas, Dr Carol Scott-Connor, Dr Anjali Thawani, and Dr Jesse Dirksen, the previous contributors to this topic. SEC, HIV, CSC, AT and JD declare that they have no competing interests.
Раскрытие информации
SF, SEC, HIV, CSC, AT, and JD declared that they had no competing interests.
Рецензенты
Fred Dirbas, MD
Assistant Professor of Surgical Oncology
Stanford University
Stanford
CA
Раскрытие информации
FD declares that he has no competing interests.
Justin Stebbing, MA, MRCP, MRCPath, PhD
Consultant Medical Oncologist/Senior Lecturer
Imperial College Healthcare NHS Trust
Charing Cross Hospital
London
UK
Раскрытие информации
JS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Marchant DJ. Benign breast disease. Obstet Gynecol Clin North Am. 2002 Mar;29(1):1-20. Аннотация
Santen RJ, Mansel R. Benign breast disorders. N Engl J Med. 2005 Jul 21;353(3):275-85. Аннотация
Love SM, Gelman RS, Silen W. Sounding board. Fibrocystic "disease" of the breast--a nondisease? N Eng J Med. 1982 Oct 14;307(16):1010-4. Аннотация
Dupont WD, Page DL. Risk factors for breast cancer in women with proliferative breast disease. N Engl J Med. 1985 Jan 17;312(3):146-51. Аннотация
Fisher B, Constantino JP, Wickerham DL, et al. Tamoxifen for prevention of breast cancer: report of the National Surgical Adjuvant Breast and Bowel Project P-1 Study. J Natl Cancer Inst. 1998 Sep 16;90(18):1371-88.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Chest wall pain
- Costochondritis
- Fibroadenoma
Больше ОтличияDiretrizes
- Screening for breast cancer: recommendation statement
- ACR appropriateness criteria: palpable breast masses
Больше DiretrizesFolhetos informativos para os pacientes
Breast cancer, locally advanced: what is it?
Breast cancer, locally advanced: what are the treatment options?
Mais Folhetos informativos para os pacientes
Conectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal