Chapter 5 – The Breast
CONTENTS
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The Breast: An Introduction
- Investigation of a new breast symptom
- Breast lumps
- Nipple changes, discharge and Paget’s disease
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Mastalgia and chest wall pain
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Mastitis
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Inflammatory breast cancer
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Breast cancer
- Types of breast cancer
- Breast carcinoma in situ
- Invasive breast cancer
- Breast implant associated-anaplastic large cell lymphoma (BIA-ALCL)
- Breast cancer and receptor sensitivity
- Hormone receptor positive breast cancer
- HER2-positive breast cancer
- Triple negative breast cancer
- Risk factors for developing breast cancer
- Genetic risk
- Familial risk assessment
- Early detection of breast cancer
- Breast screening
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Resources
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References
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Breast screening
Australia has a national breast screening program to detect early breast cancer. Population-based screening using mammography is the best early detection method available for reducing deaths from breast cancer.(41)
... Buy nowScreening mammograms
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Buy nowJaved A, Lteif A. Development of the Human Breast. Semin Plast Surg. 2013;27(1):5-12.
CloseThe investigation of a new breast symptom: a guide for general practitioners [internet]. Cancer Australia: Australian Government; 2017. Available from: https://www.canceraustralia.gov.au/publications-and-resources/cancer-australia-publications/investigation-new-breast-symptom-guide-general-practitioners
CloseCancer Australia. Triple Test guide for GPs maximises accuracy of breast cancer diagnosis. Cancer Council: Australian Government. 2017 Oct. Available from: https://canceraustralia.gov.au/about-us/news/triple-test-guide-gps-maximises-accuracy-breast-cancer-diagnosis.
CloseCancer Australia. Early detection of breast cancer [internet]. Cancer Council: Australian Government; 2004 [updated 2015 Aug]. Available from: https://canceraustralia.gov.au/publications-and-resources/position-statements/early-detection-breast-cancer.
CloseBreastScreen Australia. Information for women with breast implants [internet]. Cancer Screening: Department of Health; 2013 [updated 2015 Dec]. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/br-policy-mgmt2.
CloseDepartment of Health. MRI (Magnetic Resonance Imaging) breast services Q&A (questions and answers) [internet]. Health: Australian Government; 2013. Available from: https://www1.health.gov.au/internet/main/publishing.nsf/Content/mri-breast-services-q-and-a.
CloseBreastScreen Australia. BreastScreen Australia Evaluation Final Report. Department of Health; 2014 Oct. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/programme-evaluation.
CloseNHS. Breast pain, cyclical [internet]. NHS; 2017 [updated 2017 June]. Available from: http://www.nhs.uk/conditions/breastpaincyclical/pages/treatment.aspx.
CloseBrennan M, Nehmat H, French J. Management of benign breast conditions (Part 2- breast lumps and lesions). Asutralian Family Physician 2005;34(4):253-5.
CloseTohno E, Cosgrove DO, Sloane JP. Ultrasound diagnosis of breast diseases. London: Churchill Livingstone 1994.
CloseBrennan M, Nehmat H, French J. Management of benign breast conditions (Part 1- Painful Breasts). Australian Family Physician 2005;34:143-6.
CloseBrennan M, Nehmat H, French J. . Management of benign breast conditions (Part 3- other breast problems). Australian Family Physician 2005;34(5):353-5.
CloseCancer Australia. Breast Cancer: Paget’s disease of the nipple [internet]. Australian Government;2017 [updated 2017 June 30]. Available from: https://breast-cancer.canceraustralia.gov.au/types/pagets-disease-nipple#:~:targetText=Around%202%20out%20of%20every,invasive%20breast%20cancer%20or%20DCIS.
CloseNSW Breast Cancer Institute. Nipple discharge Australian Family Physician. 2005;34(5):357.
CloseIddon J, Dixon JM. Mastalgia. BMJ. 2013;347(bmj. f3288).
CloseMayo Clinic. Costochondritis [internet]. Available from: https://www.mayoclinic.org/diseases-conditions/costochondritis/symptoms-causes/syc-20371175.
CloseSalzman B, Fleegle S, Tully A. Common Breast Problems Australian Family Physician. 2012;86(4):343-9.
CloseHughes L, Mansel RE, Webster DJT. Benign disorders and diseases of the breast: Concepts and clinical management. London: Balliere-Tindall; 1989.
CloseBarros A, Mottola J, Ruiz CA, Borges MN, Pinotti JA. Reassurance in the treatment of mastalgia. Breast Journal 1999;5(3):162-5.
CloseHadj M. Sports brassiere: is it a solution for mastalgia? . Breast Journal 2000;6(6):407-9.
CloseColak T, Ipek T, Kanik A, Ogetman Z, Aydin S. Efficacy of topical nonsteroidal anti-inflammatory drugs in mastalgia treatment. Journal of the American College of Surgeons 2003;196(4):525-30.
CloseSrivastava A, Mansel RE, Arvind N, Prasad K, Dhar A, Chabra A Evidence-based management of mastalgia: a meta-analysis of randomised trials. Breast Journal 2007;16(5):503-12.
CloseSkaane P, Bandos A, Gullien R. Comparison of digital mammography alone and digital mammography plus tomosynthesis in a population-based screening program. Radiology 2013;267(1):47-56.
CloseCancer Australia. Inflammatory breast cancer [internet]. Australian Government; 2017 [updated 2020 Aug 5]. Available from: https://breast-cancer.canceraustralia.gov.au/types/inflammatory-breast-cancer.
CloseCancer Australia. Breast Cancer in Australia Statistics [internet]. Australian Government; 2019 [updated 2020 Aug 24]. Available from: https://breast-cancer.canceraustralia.gov.au/statistics.
CloseAustralian Institute of Health and Welfare. Cancer in Australia 2019. Canberra: AIHW; 2019.
CloseCancer Australia. Report to the nation – breast cancer 2012 released [internet]. Cancer Australia: Australian Government; 2012 [updated March 2019]. Available from: https://canceraustralia.gov.au/about-us/news/report-nation-breast-cancer-2012-released.
CloseUnderstanding Breast Cancer [internet]. Cancer Council Australia; 2006 [updated 2020 July]. Available from: https://www.cancer.org.au/about-cancer/types-of-cancer/breast-cancer/#jump_7
CloseUnderstanding Breast Cancer in Men [internet]. Cancer Council Australia; 2016. Available from: https://www.canceraustralia.gov.au/sites/default/files/publications/understanding-breast-cancer-men/pdf/2016_bimb_understanding_bc_in_men_0.pdf
CloseCancer Council Victoria. Breast Cancer [internet]. Available from: https://www.cancervic.org.au/cancer-information/types-of-cancer/breast_cancer/looking_after_yourself.html.
CloseTherapeutic Goods Administration. Breast implant associated-anaplastic large cell lymphoma (BIA-ALCL) [internet]. TGA: Department of Health; 2019 Oct. Available from: https://www.tga.gov.au/breast-implant-associated-anaplastic-large-cell-lymphoma-bia-alcl
CloseTherapeutic Goods Administration. Breast implants and anaplastic large cell lymphoma: Update – Further suspension of breast implant devices [internet]. TGA: Department of Health; 2019 [updated 2019 Nov 28]. Available from: https://www.tga.gov.au/alert/breast-implants-and-anaplastic-large-cell-lymphoma.
CloseBreast Cancer Network Australia. Types of breast cancer [internet]. Breast Cancer Network Australia. Available from: https://www.bcna.org.au/understanding-breast-cancer/what-is-breast-cancer/types-of-breast-cancer/#:~:targetText=About%20two%2Dthirds%20of%20breast,as%20tamoxifen%2C%20anastrozole%20or%20letrozole.
CloseCancer Australia. What are HER2 receptors? [internet]. Cancer Australia: Australian Government. Available from: https://canceraustralia.gov.au/affected-cancer/cancer-types/breast-cancer/treatment/what-does-treatment-breast-cancer-involve/targeted-therapies/:~:targetText=Some%20women%20with%20breast%20cancer,cancer%20than%20HER2-negative%20disease.
CloseBreast Cancer Network Australia. Triple Negative Breast Cancer [internet]. Breast Cancer Network Australia. Available from: https://www.bcna.org.au/understanding-breast-cancer/what-is-breast-cancer/triple-negative-breast-cancer/#:~:targetText=Triple%20negative%20breast%20cancer%20is,generally%20responds%20well%20to%20chemotherapy.
CloseBreast cancer risk factors: a review of the evidence 2018 [internet]. Cancer Australia: Cancer Australia (Surry Hills, NSW); 2018. Available from: https://canceraustralia.gov.au/publications-and-resources/cancer-australia-publications/risk-factors-breast-cancer-review-evidence-2018.
CloseAdvice about familial aspects of breast cancer and epithelial ovarian cancer: A guide for health professionals [internet]. Cancer Australia: Cancer Australia (Surry Hills, NSW); 2010 [updated 2016]. Available from: http://canceraustralia.gov.au/publications-and-resources/cancer-australia-publications/advice-about-familial-aspects-breast-cancer-and-epithelial-ovarian-cancer.
CloseU.S. National Library of Medicine. Li-Fraumeni syndrome [internet]. USA.gov; 2020 [updated 2020 Aug 17]. Available from: https://ghr.nlm.nih.gov/condition/li-fraumeni-syndrome#genes.
CloseCancer Australia. New recommendations on genetic testing for women with ovarian cancer [internet]. Cancer Australia; 2018. Available from: https://canceraustralia.gov.au/about-us/news/new-recommendations-genetic-testing-women-ovarian-cancer.
CloseKoo M, von Wagner C, Abel GA, McPhail S, Rubin GP, Lyratzopoulos G. Typical and atypical presenting symptoms of breast cancer and their associations with diagnostic intervals: Evidence from a national audit of cancer diagnosis. Cancer Epidemiol. 2017;48:140-6.
CloseNelson H, Tyne K, Naik A, Bougatsos C, Chan BK, Humphrey L. Screening for breast cancer: An update for the US Preventive Services Task Force. Annual Internal Medicine 2009;151(10):727-37.
CloseNational Cancer Control Policy [internet]. Cancer Council Australia. Breast Cancer: Screening. Available from: https://wiki.cancer.org.au/policy/Breast_cancer/Screening#:~:targetText=The%20BreastScreen%20Australia%20Evaluation%20found,risk%20by%2021%E2%80%9328%25.
CloseBreastScreen Australia. Position Statement on the use of Tomosynthesis within BreastScreen Australia Services [internet]. BreastScreen Australia: Department of Health; 2014 Dec 2. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/tom-pos-st.
CloseTingberg A, Zachrisson S. Digital mammography and tomosynthesis for breast cancer diagnosis. Expert Opinion Medical Diagnosis 2011;5(6):517-26.
CloseBreastScreen Australia. Digital Breast Tomosynthesis [internet ]. BreastScreen Aaustralia: Department of Health; 2018 [updated 2019 Nov 14]. Available from: http://cancerscreening.gov.au/internet/screening/publishing.nsf/Content/dbt.
CloseBaker J, Lo JY. Breast tomosynthesis: state-of-the-art and review of the literature. Academic Radiology 2011;18:1298-310.
CloseRoyal Australian College of General Practitioners (RACGP). Guidelines for preventive activities in general practice. 9th Edition. Melbourne: RACGP; 2012.
CloseAustralian Institute of Health and Welfare. BreastScreen Australia monitoring report 2018. Cat. No: CAN 116 [internet]. Australian Institute of health and welfare: Australian Government; 2018. Available from: https://www.aihw.gov.au/reports/cancer/breastscreen-australia-monitoring-report-2018/contents/table-of-contents
CloseCancer Australia. Overdiagnosis from mammographic screening: position statement [Internet]. Cancer Australia; 2008 [updated 2014 March]. Available from: https://canceraustralia.gov.au/publications-and-resources/position-statements/overdiagnosis-mammographic-screening/pdf.
CloseMarmot M, Altman DG, Cameron DA, et al. The benefits and harms of breast cancer screening: an independent review: A report jointly commissioned by Cancer Research UK and the Department of Health (England). British Journal of Cancer 2013;108(11):2205-40.
CloseCancer Australia. Early detection of breast cancer [Position statement]. Cancer australia: Australian Government; 2004 [updated 2015]. Available from: https://canceraustralia.gov.au/publications-and-resources/position-statements/early-detection-breast-cancer.
CloseCancer Australia. Statement on use of thermography to detect breast cancer [internet]. Cancer Australia: Australian Government; 1999 [updated 2010]. Available from: https://canceraustralia.gov.au/publications-and-resources/position-statements/statement-use-thermography-detect-breast-cancer.
CloseBeresford S, Cording J, Gribble A, Haddow J, Scanlan A, White E. The future of breast screening: A literature review of emerging technologies in breast cancer screening. [Internet]. Allen+Clarke; 2018. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/7E7DDFC77210058ECA2583670079F62D/$File/The-Future-of-Breast-Screening.pdf
CloseBreastScreen Australia, Cancer Australian, Cancer Council Australia. Breast Density and Screening: Position Statement [internet]. BreastScreen Australia; 2016. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/BD289E88F9F95876CA25803E001FC4E6/$File/Position%20Statement%20on%20breast%20density%20and%20screening%20within%20the%20BreastScreen%20Australia%20Program.pdf.
CloseCording J, Smith A, Gribble A, Bishop S. Breast Density: A literature review to inform BreastScreen Australia’s position statement on breast density and screening. [Internet]. Allen+Clarke; 2018. Available from: http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/0C586AE66702F52DCA258367001498DA/$File/Breast%20Density%20-%20A%20literature%20review.pdf
CloseAmerican College of Radiology. ACR BI-RADS ATLAS. 5th edition. American College of Radiology; 2014. Reporting System. Available from: https://www.acr.org/-/media/ACR/Files/RADS/BI-RADS/Mammography-Reporting.pdf
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