Women's Health Lecture 3: Breast Conditions

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Questions and Answers

What change occurs in the breast tissue as women age?

  • Increase in glandular tissue
  • Decrease in fibrous connective tissue
  • No change in breast density
  • Replacement of glandular tissue with fat and fibrous connective tissue (correct)

Which of the following factors is protective against breast cancer?

  • Hormone replacement therapy
  • Sedentary lifestyle
  • Breastfeeding (correct)
  • High alcohol consumption

What is the recommended interval for clinical breast examinations for women aged 40 and above?

  • Every year (correct)
  • Every 6 months
  • Every 3 years
  • Every 2 years

Which practice has replaced formal breast self-examination?

<p>Breast awareness (B)</p> Signup and view all the answers

What should a healthcare professional document when evaluating breast symptoms?

<p>Risk factors for breast cancer (A)</p> Signup and view all the answers

When conducting a breast examination, which position is NOT suggested for the woman?

<p>Lying flat on her back (D)</p> Signup and view all the answers

Which of the following is an inappropriate practice during a breast examination?

<p>Examining the breasts while the woman is standing (B)</p> Signup and view all the answers

What is the correct position for the woman during a clinical breast examination?

<p>Seated facing the examiner (D)</p> Signup and view all the answers

What is often the first sign of puberty in females?

<p>Thelarche (D)</p> Signup and view all the answers

Which hormones primarily stimulate the ductal system of the breast during development?

<p>Estrogen and progesterone (A)</p> Signup and view all the answers

Which of the following changes is NOT associated with breastfeeding?

<p>Retention of glandular tissue (A)</p> Signup and view all the answers

At what average age does breast development typically begin?

<p>10 years (D)</p> Signup and view all the answers

What contributes to the cyclic changes observed in the breasts of non-pregnant women?

<p>Estrogen and progesterone (B)</p> Signup and view all the answers

Which factor is NOT essential for optimal breast growth and development?

<p>Testosterone (C)</p> Signup and view all the answers

Which statement accurately describes the composition of the adolescent breast compared to that of an older breast?

<p>Younger breasts have higher density of glandular tissue (B)</p> Signup and view all the answers

Which emotional impact can be associated with injury or loss of a breast?

<p>Emotional devastation (B)</p> Signup and view all the answers

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Study Notes

Introduction to Breast Conditions

  • Female breasts are culturally linked to womanhood, serving primary functions in lactation yet often viewed through a sexual lens.
  • Breast pathology ranges from benign disorders like fibroadenomas to severe conditions such as breast cancer, both of which can have significant emotional impacts.
  • Key topics include normal breast development, current examination recommendations, common benign disorders, and an overview of breast cancer.

Breast Development

  • Thelarche marks the initial stage of puberty with breast development typically beginning around age 10.
  • Estrogen stimulates ductal growth while progesterone promotes alveolar (milk-producing) development; optimal growth requires additional hormones such as insulin, cortisol, thyroxine, and prolactin.
  • Aging alters breast tissue composition: adolescents typically have denser glandular tissue, which decreases and is replaced by fat and fibrous tissue over time.
  • Cyclic hormonal changes in non-pregnant women lead to breast size fluctuations, fluid secretion, and premenstrual tenderness.
  • Post-lactation, glandular tissue regresses significantly and remodels in breastfeeding women.

Evaluation of Breast Symptoms

  • History: Important to document presenting symptoms and risk factors that may increase or decrease breast cancer risk.
  • Protective factors against breast cancer include breastfeeding and regular physical activity.

Physical Examination

  • Formal breast self-examination is outdated; "breast awareness" is now promoted for recognizing abnormal changes.
  • Clinical breast examination is advised every 1-3 years for women aged 25 to 39, and annually from age 40 onwards, especially for those at average risk.

Procedure for Breast Examination

  • Begin by washing hands.
  • The woman should be seated appropriately, exposing her chest while other areas are covered.
  • Observe breast appearance in different positions: arms relaxed at sides, raised overhead, hands on hips, and leaning forward to assess free hanging.

Summary of Key Concepts

  • Breast development is influenced by a spectrum of hormones starting from puberty and is affected by age.
  • Knowledge of risk factors is crucial for evaluating symptoms and conducting examinations to identify potential malignancies early.

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