Breast Cancer: Early Detection and Resolution 3280

• Early detection of breast cancer focus is on detecting breast cancer lesions in early stages using population-based screening tests adjusted for age.
• Resolution Number 3280 of 2018.

Subject Population

• Women from age 40 should have a clinical breast exam every year.
• Women ages 50 to 69 should get a mammogram screening of 2 projections every 2 years.
• YouTube video on the subject is provided.

Included Care

• Included care includes personalized attention and providing information about the point, advantages and significance of claiming results
• Also included: Clinical breast exam, mammography, and information registration.
• Assignment of a follow-up appointment and referral to other services.

Human Resources

• Clinical exams should be performed by a Family medicine specialist, nurses, and general doctors.
• Mammograms should be performed by: General doctor, family medicine specialist, gynecology specialist, surgeon and radiologist.

Advice

• Establish an open discussion to promote understanding and comfort.
• Provide information about the procedures performed and possible discomfort from mammography.
• Emphasize the identification of hereditary and individual risk factors.
• Encourage a quiet and discrete setting, and allow women to express themselves if the exam causes them pain, and make corresponding referrals.

Results

• Normal results require a check up every 2 years until the age of 69.
• If a mammography is suspicious, perform a definitive diagnosis through a fine needle aspiration biopsy (BACAF).
• Treatment is given to abnormal results according to the lesion.

General Health Information

• Education on breast self-examination should be provided to women over 20 years old.
• Clinical breast examination should start from the age of 40.
• Mammography should start from the age of 50.
• Perform a monthly self-examination 7-10 days after the first day of menstruation.
• If a woman no longer menstruates, choose one fixed day each month.

Warning Signs

• Check for:

  • Recent asymmetry of the breasts.
  • Ulcerations on the breast or nipple.
  • Palpable mass in the breast or armpit.
  • Retraction of the nipple of recent appearance.
  • Spontaneous secretions.
  • Bleeding from the nipple
  • Thickening of the skin.
  • Change in skin color.
  • Changes in moles or scars on the chest.

• Other signals include:

  • Protrusions
  • Growing veins
  • Cracks
  • Internal lumps
  • Skin erosion
  • Nipple sinking
  • Orange peel skin
  • Redness and burning
  • Holes in chest

Recommendation

• Any change identified during breast self-examination compared to the previous month's evaluation should be consulted with a doctor IMMEDIATELY.