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breast 2 history (lump (time (onset, (long) changes, (MENSTRUAL CYCLE)…
breast 2 history
lump
associated
factors
describe
time
onset
(long) changes
(MENSTRUAL CYCLE) changes
site
size
shape
number
skin
erythematous, warm
dimpling, peau d'orange
eczema, crust of nipple, areolar
symptoms
constitutional symptoms
metastasis symptoms
infective symptoms
nipple
discharge
spontaneous, content
displacement
retration
PMH/PSH
breast disease, implant
gynecological
malignancy: radiotherapy
social history
smoking
drinking
estrogen exposure history
protective factors
full-term pregnancy
number
age give birth to first child
.<30
breastfeeding
.>1 year
increase risk
OCP/HRT
.>1 year???
menopause
.>55
menarche
.<12
pain
drug history
TCM: hormone
family history
BRCA 1,2
breast-ovarian (prostate)
BRCA1 (maternal), BRCA2 (maternal, paternal)
age of onset M45, F55
dead