Summary
定义
病史和体格检查
关键诊断因素
- presença de fatores de risco
- mastalgia
- nódulos simétricos difusos por toda a extensão das duas mamas
其他诊断因素
- idade entre 30 e 50 anos
- descarga mamilar
- massa mamária palpável
危险因素
- menopausa de início tardio
- primeiro parto em idade avançada
- nuliparidade
- obesidade
- terapia de reposição de estrogênio
诊断性检查
首要检查
- mamografia
- ultrassonografia das mamas
需考虑的检查
- aspiração do cisto
- biópsia de mama
治疗流程
mastalgia
descarga mamilar
撰稿人
作者
Sonia Sugg, MD
Professor of Surgery
Division of Surgical Oncology and Endocrine Surgery
University of Iowa Hospitals and Clinics
Iowa City
IA
Divulgaciones
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
Disclosures
IL declares that she has no competing interests.
Acknowledgements
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.
Disclosures
SF, SEC, HIV, CSC, AT, and JD declared that they had no competing interests.
Peer reviewers
Fred Dirbas, MD
Assistant Professor of Surgical Oncology
Stanford University
Stanford
CA
Disclosures
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
Disclosures
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.
References
Key articles
Marchant DJ. Benign breast disease. Obstet Gynecol Clin North Am. 2002 Mar;29(1):1-20. Abstract
Santen RJ, Mansel R. Benign breast disorders. N Engl J Med. 2005 Jul 21;353(3):275-85. Abstract
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. Abstract
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. Abstract
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Dor na parede torácica
- Costocondrite
- Fibroadenoma
More DifferentialsGuidelines
- Screening for breast cancer: recommendation statement
- ACR appropriateness criteria: palpable breast masses
More GuidelinesPatient information
Câncer de mama localmente avançado: o que é?
Câncer de mama: CDIS (câncer de mama em estágio muito inicial) em mulheres
More Patient information
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