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Breast Examination - Coggle Diagram

- - - - Hard
      - Soft
      - Cystic
- - - - Eg. costochondritis
  - - - Bloody is more severe
        
        Could be cancer
        
        But also could be benign: papilloma
  - - - Lactational: bacteria introduced during synthesis of milk + baby suckling on the nipple
- - - - Breast, ovary, pancreas, prostate cancers
      - Most common gene
    - - Breast, pancreas, ovarian
    - - Hamartoma
      - Non-medullary thyroid, uterus cancer
    - - Soft tissue and bone sarcoma, leukemia, brain, adrenocortical malignancies
- - - - Paget's disease: cancer behind the nipple
      - Red or discolored
      - Peau d'orange: lymphatics are blocked, causing swelling and thickening of the skin
      - Scars
      - Nodules
      - Dilated veins
    - - Cracked
      - Eczematous changes (eg. Paget's)
      - Over-pigmented
        
        Some can be normal change due to pregnancy
      - Discharge
      - Extra (accessory) nipple: nipples usually disappear after development (very rare)
  - - - Exposes lateral and inferior breast
    - - Contracts pectoralis muscle
      - Accentuates Cooper ligament
        
        Makes retraction easier to see
        
        Cooper's ligament: suspensory ligament of the breast that keeps shape of the breast