Breast and Regional Lymphatics

Question 1

How are the regions of the breast described

Answer 1

like a clock

Question 2

Developmental Considerations in Newborns

Answer 2

breast enlargement due to maternal hormones

Question 3

Developmental Considerations in Adolescents

Answer 3

• estrogen stimulates fat deposit and ductal system development

Question 4

Tanner’s Staging

Answer 4

• staging of normal breast development

Question 5

Thelarche

Answer 5

when breasts become evident

Question 6

Menarche

Answer 6

first occurrence of menstruation

Question 7

Developmental Considerations in Older Women

Answer 7

• atrophy of tissue due to decreased estrogen and progesterone

Question 8

Gynecomastia

Answer 8

• male development of breasts

- problem in post-pubescent men

Question 9

Mastitis

Answer 9

inflammation of breast tissue that sometimes involves an infection

Question 10

S&S of Mastitis

Answer 10

breast pain, swelling, warmth and redness, fever and chills

Question 11

Lactational Abscess

Answer 11

accumulation of pus in an area of the breast and frequently develops as a result of inadequately treated infectious mastitis.

Question 12

S&S of Lactational Abscess

Answer 12

fever, chills, malaise, and recent or recurrent mastitis

Question 13

Conditions Requiring Further Investigation

Answer 13

• new lump
• changed lump
• lump in axilla
• bloody nipple discharge

Question 14

Health History Questions

Answer 14

• lump
• pain
• discharge
• rash
• swelling
• trauma
• breast disease
• surgery
• self-care
• BSE
• last mammogram

Question 15

When is a history of breast cancer in the family the highest?

Answer 15

if it was a male relative

Question 16

Inspect:

Answer 16

• size
• symmetry
• shape
• skin
• lymphatic drainage areas (axilla and superclavicular)

Question 17

If a Lump is Present Note:

Answer 17

• location
• size
• shape
• consistency
• mobility
• distinctness
• nipple retraction
• overlying skin
• tenderness
• lymphadenopathy

Question 18

Sernumery Nipples

Answer 18

• third, out of place nipples

Question 19

When is the best time to give yourself a BSE?

Answer 19

• 7 days after period

- same time every month (post-menopause)

Question 20

Pedigree Assessment Tool

Answer 20

PAT
assesses risk of BC
-  age 
- ovarian cancer 
- male breast cancer in family
- Ashkenazi Jewish heritage

Question 21

When is routine mammogram recommended?

Answer 21

-50-74 yrs

Question 22

Modifiable Risk Factors

Answer 22

• contraceptive use
• hormone replacement therapy
• alcohol intake
• obesity
• physical activity
• nulliparity (birth after 30)

Question 23

Non-Modifiable Risk Factors

Answer 23

• gender
• age
• gene mutation
• family history
• menstruation before 11
• previous history

Question 24

Fibroadenoma

Answer 24

Fibroadenomas often present as a palpable breast lump that might feel firm, smooth, rubbery or hard, perhaps like a pea or a grape.

Question 25

Cancerous Lump

Answer 25

• irregular in shape
• firm or solid
• fixed to the tissue in the breast
• painless.