Describe location within breast area
using the four quadrants: Upper outer Upper inner Lower outer Lower inner
Anatomy of female breast
o Suspensory ligaments
o Glandular tissue
o Ducts
o Fat
Supernumerary nipples may be located along the
Milk Line
o Lymphatics from the breast drain
The axilla
> 4.0 RR for Breast Cancer
Female Age >65 Genetic mutations BRCA1 and 2 Two or more first degree relatives w/BC Personal hx of BC high breast tissue density confirmed Atypical hyperplasia
2.1 - 4.0 RR for Breast Cancer
One first degree relative w/BC
High dose radiation to chest
High bone density (post menopausal)
1.1 - 2.0 RR / Factors that affect circulating hormones
First full term pregnancy at >30 yo. Early menarche 55 yo No full-term pregnancy Never breast fed a child Recent OC use Recent and long-term use of hormone replacement therapy Postmenopausal obesity
Other factors
Hx of endometrium, ovary, or colon CA ETOH consumption Tall stature High socioeconomic status Jewish heritage
Mammography recommended for women 40 to 50 yo.
Every 1-2 years
Mammography recommended for women 50 and above.
Annual screening
CBE
Clinical Breast Exam
BSE
Breast Self Exam