Breast cancer: The Daily PANCE Blueprint
Which of the following is the most common clinical feature of breast cancer?
A. Breast mass
B. Nipple discharge
C. Axillary and breast pain
D. Headaches
E. Fatigue
Answer and topic summary
The answer is A. Breast mass
Breast cancer is the 2nd most common cancer in females (risk is 13% in the United States.) The most common type of breast cancer is invasive ductal carcinoma. Risk factors include anything that increases exposure to endogenous estrogen (early menarche, late menopause, nulliparity, obesity), hormone replacement therapy, positive family history, smoking/alcohol, radiation therapy during childhood, etc. On physical exam you may notice a palpable mass that is non-tender, firm, and usually in the upper outer quadrant. Diagnosis includes ultrasound for women <30 and for women >30, mammography. Treatment depends on the cancer stage and also the histopathologic classification.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint Reproductive System ⇒ ⇒
Also covered as part of the Family Medicine EOR, and Women's Health EOR topic lists
