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Benign Disord Breast

MAMC exam 8 benign disorders of the breasts

external components of normal breasts skin areola nipple
internal components of normal breasts mammary glands 15-20 lobes axillary & internal mammary lymph nodes
what determines breast size adipose tissue
lactation milk production
hormonal cycle associated with ovulation, menstruation, & pregnancy prolactin progesterone estrogen
triad of assessments for breast health breast self-exam (BSE) clinical breast exam (CBE) mammography
BSE regular (monthly) systematic examination starting at age 20 regularity is key! usually 7-8 days after menses 90% of lumps found by women during BSE
rationale for regular breast exams majority of lumps found aren't cancerous cancerous breast lesions are treatable
techniques for teaching BSE inspection palpation timing of BSE
changes in breast exam to report changes in skin texture retraction/indentation of nipple discharge from nipple atypical fullness and/or puckering
timing of BSE's menstruating women - 3-8 days after end of menses post-menopausal women - first day of month or any day that's remembered
clinical breast exam (CBE) trained health care provider patient teaching vital inspection - same as BSE palpation - sitting or supine
mammograms low dose x-ray of breast in combination with a physical exam detects tumors not detectable with palpation detects tumors as small as 0.5cm annual screenings beginning at 40
t/f mammograms are an excellent source for screening & detection and can diagnose cancer false, cannot diagnose cancer
established risk factors for breast tumors over 50 family history defective gene BRCA 1 & BRCA chronic alcohol use ethnicity nulliparity age of first full term pregnancy 1st preg. after 30 age at menopause & menarche history of breast cancer or benign proliferative lesion female cancer
50% of women diagnosed with breast cancer demonstrated none of the identified risk factors except for ______ age
benign growths fibrocystic breast condition fibroadenoma acute mastitis chronic mastitis
fibrocystic breast disease also called chronic cystic mastitis or mammary dysplasia
cause of fibrocystic breast disease unknown but related to response of breast tissue to cyclic hormone changes
most common benign breast lesion fibrocystic breast disease
symptoms of fibrocystic breast disease premenstrual pain/breast tenderness diffuse tender cysts usually occur bilaterally mobile lumps if close to skin surface deeper ones from carcinoma
definitive diagnosis of fibrocystic breast disease from surgical biopsy
characteristics of fibrocystic breast disease affects premenopausal women usually 30-50 aspiration biopsy may be required for definitive diagnosis
interventions for fibrocystic breast disease padded bra/good supportive bra analgesics/diuretics dietary measures danocrine/danazol hormonal contraceptives
fibroadenoma solid benign mass of connective tissue & glandular tissue usually occurs in late adolescence or early adulthood cause unknown but related to hormonal changes
characteristics of fibroadenoma growths during pregnancy shrinks after menopause grows slowly - usually single nodule, not related to menstrual cycle, not considered pre-cancerous
assessment findings of fibroadenoma painless, non-tender lump encapsulated, mobile firm if large, breast size asymetric
diagnosis & treatment of fibroadenoma US more accurate than mammogram excisional biopsy as needed
nursing management for fibroadenoma teach how to perform BSE wound care if excision necesary follow-up care
acute mastitis bacterial infection usually caused by S. aureus or streptococci
when acute mastitis most commonly occurs during lactation
causes of acture mastitis poor hygiene or infant infections
manifestations & treatment of acute mastitis tender/inflammed breasts obstructing milk flow warm packs, well fitting bra, ABX
risk factors for chronic mastitis age 30-50 obesity have had difficulty nursing inverted or cracked nipples traumatic injury increased fibrosis of tissue multiparous (multiple births, i.e. twins)
Created by: ealongo