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(CONTRACEPTIONCONTRACEPTION, BREAST) - Coggle Diagram
CONTRACEPTIONCONTRACEPTION
CONTRACEPTION IN LACTATING MOTHERS
Progestin only pills
EMERGENCY CONTRACEPTION OPTIONS
Ulipristal pill
Antiprogestin---> trì hoãn rụng trứng
0-120
85%
levonorgestrel pill
Progestin----> trì hoàn rung trứng
0-72h
85%
Efficacy ↓ over course of 72 hours so give asap
Copper IUD
tạo phản ứng viêm
sau quan he 0-120 giờ
99%
Levonorgestrel IUD can be used too for long-term (can be placed for 5 years) but
NOT emergency
contraception
OCPS
progestin.....
0-72h
75 %
ngừa thai
giảm nguy cơ ung thư nọi
mạc tử cung và bồng trừng
RL CKy kinh thie1u Fe
giàm ngu cơ ác tinh ung thu vú
chày máu( vì low esstrogen in drug)
tăng HNT
DVT
H/o benign breast disease or FH of breast CA NOT a contraindication of OCP use
Pts with uncontrolled HTN, who smoke and age >35 should consider some other method of
contraception
CONTRAINDICATIONS OF OCPS
dau nửa đầu
35 T + huet thuốc
HA >160/100
VDT+ stroke
breast cancer
xơ gan
chú ý: ung thư vú + BRCA
----> CCD dung thuôc có progessteron/ IUD/patch/ vagina ring
BREAST
MALIGNANT BREAST TUMORS
RISK FACTORS FOR BREAST CANCER
IMPORTANT PROGNOSTIC AND TREATMENT FACTOR
ER and PR+ are good prognostic factors>>>HER2/neu oncogene overexpression—worse prognosis
HER2 overexpression +ve t
reat with trastuzumab (Herceptin
TDP: cardiotoxicity
----> Echocardiogram recommended before therapy to determine
SCREENING FOR BREAST CANCER
NON-INVASIVE BREAST CANCER
PAGET DISEASE
Adenocarcinom
a most common type of breast cancer and also in Paget disease
neoplastic cells from through mammary duct to nipple surface
INVASIVE BREAST CANCER
NFLAMMATORY BREAST CANCER
PALPABLE BREAST MASS
SIMPLE BREAST CYST
AGE >30 YEARS
BENIGN BREAST DISEASES
FIBROADENOMA
FAT NECROSIS
EVALUATION OF NIPPLE DISCHARGE
PHYSIOLOGIC GALACTORRHEA
INTRADUCTAL PAPILLOMA
thay đôi dich+ ko liên quan tới u hay lympho
SA+ nhu ãnh+ sinh thiết
single dilated breast duct