Case Type 1:Young Female, With Well Defined, Firm & Painless Lump, Which Moves Within The Breast Tissue Is A FIBROODENOMA. It Requires simple Excision. Refer To A Surgeon. Case Type 2: Young Premenopausal Lady,- C/O Painful Lump In The Breast - Shows The Lump By Pinching The Breast Tissue Bt The Lump Is Ill Defined If Palpated B Flat Hand. - But There Is Tenderness.- Pain Usually Increases Before M.C. This Is Fibroadenosis
1. Breast Support. 2. Formentations X 2-3 Times/Day 3. Tab. Brufen 400mg Tds X 10 Days (Ibuprofen = 3c-3= Anti Inflammatory) 4. Tab WYSOLONE 5 Mg Tds X After Food X 7 Days In Acute Stage (Prednisolone – 9a-1 = Steroid) 5. Tab B=Long 100 Mg Tds X -36 Months (Pyridoxin = 2h-3) 6. Tab Lodogal 100mg Tds X 3-6 Months. If Patient Can Afford. (Danazol = 8i-1 = Anti-Gonadotrophin) 7. If Cystic Mass Is Formed, Which Does Not Resolved With Above Treatment, Refer To Surgeon For Excision.
Case Type 3:Lactating Mother Comes With Redness, Swelling And Throbbing Pain & Fever. She Is Developing A Breast Abscess.
1. Breast Support. 2. Fomentation X Tds X With Hot Water Bag Or Wet Fomentations. 3. Stop Feeding From Affected Breast. Empty It With Breast Pump, Without Squeezing. 4. Cap Baciclox 500mg tds x 5 (good antibiotic =7A) 5. Tab Combiflam 1 tds xs 5 (anti inflammatory + analgesic – Ibuprofen + Paracetamol = 3C-3) 6. if abscess forms & localizes; incision & drainage of abscess. Refer to surgeon. 7. if abscess is large or milk leaks through wound, thn suppress lactation. Inj. Mixogen 1 ml IM x daily x 3 days.
Case Type 4:In any lump that appears de novo, after the age of 35 years., suspect carcinoma and refer for excision biopsy. Suspect carcinoma if:
1. Painless, har & irregular lump 2. Fixity to skin, nipple or underlying muscel 3. Lymph nodes in axilla.
Carcinoma of breast, if detected early is completely curable. So keep a high degree of suspicion and refer early for excision biopsy. Particularly, in postmenopausal women a breast lump is to be considered malignant, unless prved otherwise.
