benign breast conditions 2

8/14/2019 Benign Breast Conditions 2

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BENIGN BREAST

CONDITIONS

BY;

COL.ABRAR HUSSAIN ZAIDI


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OUTLINE


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After history of breast lumpsand breast examination

The problem is differentiation


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OVERVIEW


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707 breast cancers have developed.


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ARE BENIGN BREAST LESIONSPREMALIGNANT


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From the time a girl begins to menstruatebreasts undergo regular changes each

month.Nearly all breasts develop some lastingchanges, beginning when the woman isabout 30 years old.

Eventually, about half of all women willexperience symptoms such as lumps, pain,or nipple discharge.


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OVERVIEW


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A retrospective study of over300 referrals


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FIBROCYSTICCHANGES/DISEASE


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Symptoms ; swollen, tender breasts, and/or one or

more lumps. Frequently, symptoms worsen just

before a woman's menstrual cycle,subsiding near the end.

For the majority of women thesesymptoms are a temporary discomfort,however some women experiencesevere pain.


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ASK ABOUT

Date of last period?

When did she discover the lump?

Family history of breast problems?

Previous breast problems?

Previous breast biopsy or other breast surgery?

Is it hard or soft?

Has lump and is grown larger or smaller

Nipple discharge Any medications?


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Diagnostic Methods

FNAC /BIOPSY


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MANAGEMENT FIBROCYSTICCHANGES/DISEASE


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SYMPTOMATIC RELIEFFIBROCYSTIC CHANGES/DISEASE

Re-assurance

Analgesics

Sedatives


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dietary changeseliminating all forms

of cafeine-containing foods from

your diet.


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Decrease sources of estrogen fromdiet such as commercially raised meats

which contain excessive amounts ofhormones that can exasperate yoursymptoms.

Stoppharmaceutical sources of

estrogen such as birth control pills thatcan worsen symptoms of benign breastconditions.


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About Premenopause Progesterone Cream


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Vitamin E- 400 IU to 600 IU per day

Vitamin B6, a B complex, and

magnesium.wearing a good support bra during

intolerable episodes.


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Sclerosing adenosis

involves the excessive growth of tissues in thebreast"s lobules.

frequently causes breast pain.

Changes are microscopic.adenosis can produce lumps,

On mammography, often as calcifications, smalldeposits of calcium in tissue.

Because adenosis is often difficult to distinguishfrom cancer, -- surgical biopsy to diagnose andtreat .


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FIBROADENOMAS


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FIBROADENOMAS

Fibro Adenomas do not becomemalignant

they can enlarge with pregnancyand breast-feeding.

Fibro adenomas have a typicallybenign appearance on

mammography (breast x-rays) diagnosed with fine-needle

aspiration.

Most believe that remove fibro


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Fat necrosis Firm, tender, indurated, ill-defined mass Formed by damaged and disintegrating

fatty tissues.

Typically occurs in obese women withvery large breasts. Often develops in response to a bruise

or blow to the breast, even though the

woman may not remember the specificinjury. Can easily be mistaken for cancer, so

such lumps are removed during a

surgical biopsy.


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Breast lumps in males


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After history

of breast lumps and breast examination

the problem is differentiation


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Physiological swelling and tenderness

Nodularity


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Conclusions

women with fibrocystic breastdisease or other benign breast

conditions are more likely todevelop breast cancer later

only

if a breast biopsy shows "atypia"or abnormal breast cells.


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Conclusions

Risk factors for breast cancer after thediagnosisof benign breast disease

include the histologic classificationof a benign breast lesion and afamily history of breast cancer.

However, all breasts lumps must be

investigated to rule out breast cancerand/or to begin immediate treatment ifbreast cancer is diagnosed.

benign breast conditions 2

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