Condition Info - BotMed Application

ConditionName

Breast cancer

ConditionDescription

Symptoms

Mass solid and immobile;
Peau d’orange;
New nipple retraction;
Dimpling of the breast.

PhysicalFindings

Axillary lymphadenopathy

ClinicalTests

Mammogram (screening test);
CA 15-3;
Biopsy: FNA, but better core biopsy;

RiskFactors

Family history;
Mutation BRCA1 and BRCA2;
Estrogen exposure;
Early menses, late menopause, nulliparty, Late 1st pregnancy, HRT
Age;
Obesity;
Alcohol;
Certain chemicals + pesticides;
Most common side: Upper outer Q.

IsRedFlag

IsNPLEX

Consequence

Metastasis:
Bone;
Thorax;
Brain;
Liver.

Lymphedema;

ProgressionFromCondition

Metastatic dz or large tumor (>1 cm) or aggressive tumor: chemotherapy;

Hormonal therapy: tamoxifen (positive for Est and Progesterone);

Positive for HER2/neu: Trastuzumab;

BRCA mutation: bilateral prophylactic mastectomies;

TreatmentOptions

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/gynecology-and-obstetrics/breast-disorders/breast-cancer