History taking in breast disease
The history should cover the following:
- age:
- less than 30 years
- older than 50 years
- lump:
- when first noted
- tenderness
- change in size
- nipple discharge:
- colour
- unilateral or bilateral
- any associated mass
- recent nipple inversion
- eczema, dimpling, ulceration
- evidence of systemic disease
- relevant gynaecological history:
- age of menarche, menopause
- parity, age at first pregnancy, breast feeding
- use of oral contraceptives, hormone replacement therapy
- relevant past medical history:
- previous breast disease - benign, malignant
- recent breast trauma
- prior breast radiation exposure
- family history of breast disease
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