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You have painful areas in the breasts There are also vague lumps in one or both breasts.

You are a woman between 30-50 yrs. and. You have painful areas in the breasts There are also vague lumps in one or both breasts. These lumps cause pain especially in the premenstrual period The lumpy areas and the pain are often noticeably less after the periods.

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You have painful areas in the breasts There are also vague lumps in one or both breasts.

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  1. You are a woman between 30-50 yrs. and..... • You have painful areas in the breasts • There are also vague lumps in one or both breasts. • These lumps cause pain especially in the premenstrual period • The lumpy areas and the pain are often noticeably less after the periods

  2. There are monthly hormonal changes taking place in every woman’s body • These hormones also have an effect on the breasts • The hormonal influences are often not uniform; they tend to be exaggerated in certain areas of the breast • This give rise to lumpy and/or painful areas in the breast

  3. Though tongue-twisting!, these are essentially benign and • Microscopically the lumps comprise of one or more of a number of pathological entities including: • mastitis, • cysts, • duct ectasia, • fibroadenomas, etc. • Collectively termed as Benign Breast Disease.

  4. The Big Question is: what is the relation between benign breast disease & breast cancer? ? • 80-90% of breast lumps are not cancerous (benign). • Fibroadenomas & simple breast cysts are not pre-cancerous conditions. • The majority of women with Benign Breast Disease are not at a greater risk of getting breast cancer. • A smaller percentage of women with proliferative breast disease especially atypical hyperplasia and in insitu carcinoma will have a higher risk of developing breast cancer. • Most symptoms of benign breast disease will subside after the onset of menopause • Majority of breast cancer cases occur after the age of 50, and it is uncommon below the age of 35

  5. Clinical suspicion of malignancy • Increased by: • Strong family history, • Suspicious clinical attributes, • Elderly age. • Decreased by: • Long, non-progressive clinical course, • Non suspicious clinical attributes, • Young age.

  6. Breast Lump Evaluation • Breast Self Examination (BSE), • where a woman examines her own breasts • Physician Examination: • done by a physician during a health check up. • Mammography: • Basically an x-ray of the breast, it can often reveal early changes leading to the diagnosis of very early breast cancer. • Biopsy: • where a portion / entire lump is subjected to microscopic examination

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