Breast Lump.pptx
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This document outlines the approach to evaluating a patient presenting with a breast lump, including taking a thorough history, performing a detailed physical examination of the breast and lump, generating a differential diagnosis, and determining the appropriate investigations and subsequent treatment. The history should inquire about presenting symptoms, duration, and associated complaints. The physical examination inspects and palpates the lump and surrounding breast tissue to characterize the site, size, shape, mobility, and fixation of the lump. Potential causes of the lump include fibrocystic disease, cysts, fibroadenoma, fat necrosis, papilloma, and breast cancer. Further investigations like mammography, ultrasound, biopsy and imaging may be used to arrive at a diagnosis and guide treatment.
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Breast Lump.pptx
- 1. Approach to a Patient of Breast Lump
- 2. How to Approach?? History Examination Investigation
- 4. What to ask in History? Biodata Presenting complain with its duration Questions related to lump Associated symptoms (discharge, any other swelling, skin changes, body aches, etc) • Relevant histories
- 5. Examination INSPECTION Site Size Shape Extent Skin changes (Redness, dimpling, edema, ulceration, Peaud orange) Discharge Nipple (everted or inverted, crusted, ulcerated) Prominent Veins Any other lump in vicinity
- 6. PALPATION Size Position Extent Mobility Composition ( Fluctuant, Hard, Rubbery ) Fixation to underlying tissue or skin
- 7. What could be the cause of this LUMP??
- 8. DIFFERENTIAL DIAGNOSIS FIBROCYSTIC DISEASE CYSTS FIBROADENOMA FAT NECROSIS PAPILLOMA BREAST CANCER
- 12. Specific Investigations • Mammography • USG • FNAC/ Biopsy • MRI • Imaging for metastases
- 13. Treatment • As per cause
- 14. Thanks