Term
What are 3 concerning symptoms of the breasticles |
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Definition
"lump/mass, pain, nipple discharge" |
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Term
A milky bilateral discharge of the nipple may indicate what |
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Definition
"pregnancy, prolactin/other hormonal imbalance" |
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Term
spontaneous persistent nonlactational bloody discharge (unilateral) may be …? |
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Definition
papilloma disease or rarely breast cancer |
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Term
what are common characteristics of fibroadenomas |
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Definition
"fine, round, mobile, nontender" |
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Term
what are common characteristics of cysts |
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Definition
"soft to firm, round, mobile, often tender" |
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Term
what are common characteristics of fibrocystic changes |
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Definition
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Term
what are common characteristics of cancer in the breasts |
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Definition
"irregular, stellate, firm, not clearly delineated " |
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Term
what are common risk factors for breast cancer |
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Definition
"previous breast cancer, affected mom/sis., biopsy, atypical hyperplasia, ? age, early menarche, late menopause, late/no pregnancies, previous radiation to chest wall" |
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Term
What could redness in the breast mean during an inspection |
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Definition
possible local infection or inflammatory carcinoma |
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Term
Thickening of skin & prominent pores may suggest… ? |
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Definition
may suggest breast cancer |
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Term
recent or fixed flattening or depression of nipple may suggest …? |
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Definition
nipple retraction which may suggest cancer |
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Term
what occurs when cancer or its fibrous strands are attached to both the skin and fascia overlying the pectoral muscles |
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Definition
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Term
T/F even though lesions may be benign they should always be evaluated further |
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Definition
True- better safe than sorry |
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Term
What 4 positions assist in visually inspecting the breasts for lesions |
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Definition
"arms at side then over head, hands pressed against hips, and then leaning forward" |
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Term
when pressing deeply on the breast what may be mistaken for a hard breast mass |
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Definition
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Term
nodules in the tail of the breast are often mistaken for what? |
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Definition
enlarged axillary lymph nodes |
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Term
define mammary duct ectasia |
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Definition
benign but often painful condition of dilated ducts with inflammation |
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Term
In what manner should you describe nodules |
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Definition
"location, size, shape, consistency, delimitation, tenderness, mobility" |
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Term
a mobile mass that becomes fixed when the arm relaxes is attached to what structure(s) |
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Definition
to the ribs and intercostal muscles |
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Term
a mobile mass that becomes fixed when the hand is pressed against the hip it is attached to what structure(s) |
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Definition
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Term
what term is used with an imbalance of estrogens and androgens in the male breast |
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Definition
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Term
"Does a hard, irregular, eccentric, or ulcerating nodule suggest gynecomastia or breast cancer in the male breast" |
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Definition
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Term
"deeply pigmented, velvety axillary skin suggests…?" |
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Definition
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Term
"nodes that are large (?1 cm), firm/hard, matted together, or fixed to the skin or to underlying tissues suggests…?" |
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Definition
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Term
what term is used for a milky discharge unrelated to a prior pregnancy and lactation |
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Definition
nonpuerperal galactorrhea |
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Term
what are the leading causes of nonpuerperal galactorrhea |
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Definition
hormones and pharmacological substances |
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Term
what position should your arm be in when doing a breast self-exam (BSE) while lying down |
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Definition
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Term
the finger pads of what fingers should be used to perform the BSE |
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Definition
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Term
what pattern should you use when doing a BSE |
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Definition
It doesn't matter but use the same pattern each month |
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Term
what patterns are commonly used when doing BSE |
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Definition
"strip, circular, or wedge pattern" |
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Term
what benefit does the upright position provide while performing a BSE |
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Definition
it allows you to check the upper outer part of the breast (near armpit) |
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Term
what % of breast cancer is found in the upper outer part of the breast |
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Definition
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Term
What facilitates the upright BSE (allows skin to glide over breast easier) |
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Definition
perform it in the shower with soapy hands |
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Term
what is the difference between retraction signs and nipple retraction and deviation signs |
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Definition
retraction signs include dimpling/retraction at any spot in the tissue; nipple retraction is just around the nipple |
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Term
what causes edema of the skin of the breast |
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Definition
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Term
what are signs of edema of the skin of the breast |
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Definition
thickened skin with enlarged pores |
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Term
Thickened skin with enlarged pores is aka…? |
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Definition
peau d'orange sign (orange peel) |
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Term
"what uncommon form of breast cancer usually starts as a scaly, eczemalike lesion" |
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Definition
paget's disease of the nipple |
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Term
when should you suspect paget's disease of the nipple |
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Definition
with any persisting dermatitis of the nipple and areola |
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Term
what are the three most common kinds of breast masses |
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Definition
"fibroadenoma, cysts, and breast cancer" |
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Term
when does fibroadenoma usually appear |
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Definition
ages 15-25 (can be up to 55) |
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Term
how many masses usually appear with fibroadenoma |
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Definition
usually one but may be multiple |
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Term
what can a fibroadenoma be |
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Definition
"round, disclike, or lobular" |
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Term
what is the consistency of a fibroadenoma |
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Definition
"may be soft, but is usally firm" |
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Term
how mobile (if at all) is a fibroadenoma |
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Definition
very mobile (often called breast mice) |
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Term
how tender is a fibroadenoma to the patient |
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Definition
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Term
are there any retraction signs with a fibroadenoma |
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Definition
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Term
what is the common age range that cysts of the breast appear |
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Definition
usually 30-50 (regresses after menopause) |
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Term
how many masses usually appear with cysts in the breast |
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Definition
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Term
what is the shape of a cyst in the breast |
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Definition
"round, disclike, or lobular" |
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Term
what is the consistency of cysts in the breast |
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Definition
"soft to firm, usually elastic" |
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Term
how mobile (if at all) is a cyst |
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Definition
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Term
How tender is a cyst to the patient |
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Definition
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Term
are there any retraction signs with a cyst |
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Definition
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Term
what is the common age range that breast cancer appears |
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Definition
30-90 (more common over 50) |
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Term
how many masses usually appear with breast cancer |
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Definition
"usually single, but may coexist with other nodules" |
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Term
what is the shape of breast cancer |
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Definition
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Term
what is the delimitation of the breast with breast cancer |
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Definition
not clearly delineated from surrounding tissues |
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Term
how mobile (if at all) is breast cancer |
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Definition
may be fixed to skin or underlying tissues |
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Term
how tender is breast cancer to the patient |
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Definition
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Term
are there any retraction signs with breast cancer |
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Definition
retraction signs may be present |
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Term
name the glands around the breast |
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Definition
"lateral, central, subscapular, pectoral, supraclavicular, infraclavicular" |
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Term
what time of the month should women perform BSE |
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Definition
one week after end of menstrual cycle b/c hormones are low |
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Term
what time of the month should post-menopausal women perform BSE |
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Definition
any day during the month but be consistent from month to month |
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Term
What is the baseline age for women to receive their first mammogram |
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Definition
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Term
when should women have yearly mammograms |
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Definition
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