Manzano, Clairol Marcelo, Pamela Marcial, Karmi Margaret Matematico, MichelleMatias, Evangelyn Maulion, Marienelle

1. Breast Lump2. Age3. Family History4. Reproduction and Menstrual History5. Radiation Exposure6. Hormone Replacement Therapy7. Oral Contraceptives8. Body Mass Index

Time of recognition

Number SizeChanges before

menstruationLocation

ShapeBordersMobilityTendernessPain

Age = Breast Cancer risk Family History

Relative Risk of Cancer: 1st degree > 2nd degree Sister > MotherHighest risk: (+) FH – Mother and Sister

Early Menarche & Late Menopause Breast Cancer risk Nulligravidity is a risk

Radiation Exposure = Breast Cancer risk

HRT, Contraceptives, Obesity Estrogen Exposure = Breast Cancer risk

Benign Lesion Malignant LesionNo skins changes Skin Dimpling

No lymphadenopathy Lymphadenopathy

No nipple retractions Nipple Retractions

No Peau d’ Orange Peau d’ Orange

Soft / Rubbery Consistency

Solid/Hard Consistency

Mobile Fixed/Immobile

Well-defined borders Poorly delineated borders

Regular Margins Irregular Margins

FIBROADENOMA Benign fibroepithelial neoplasm from the

terminal duct lobular unit of the breast Painless, firm, solitary, mobile Occurs in young women of child bearing

years ▪ (20 to 30 years old)

Size: 2 – 3 cm Borders: Well-defined Margins: Regular NOT PREMALIGNANT

Mammography Indeterminate Mass with suspicion of cancer Pre-requisite prior BCT Follow-up after BCT and of contralateral

breastUltrasound

Distinguish between solid and cystic masses Provide guidance for cyst aspiration or core

biopsy For palpable mass that is partially or poorly

seen on a mammogram

Fine Needle Aspiration BiopsyBelow 25 years old: OBSERVATION25 to 35 years old:

OBSERVATION/EXCISIONAbove 35 years old: EXCISIONFollow up: PE and MammographyCryoablation Treatment

Alternative to open surgical removal of fibroadenoma

HistoryPhysical ExaminationBilateral MammographyFine Needle Aspiration BiopsyCytology