
Breast Cancer
Known Symptoms
- Common symptoms: Palpable breast lump (often painless). Changes in breast size/shape, skin dimpling or thickening. Nipple retraction, discharge (especially bloody), or rash.
- Red-flag symptoms: Axillary lymphadenopathy. Persistent breast pain unrelated to menstrual cycle. signs of advanced disease (e.g., bone pain, jaundice, shortness of breath).
Known Causes
- Etiology:
- Genetic factors (e.g., BRCA1/2 mutations, family history).
- Hormonal influences (early menarche, late menopause, hormone replacement therapy).
- Lifestyle factors (alcohol consumption, obesity, physical inactivity). Environmental exposures (radiation).
- Pathophysiology: Uncontrolled proliferation of abnormal breast cells due to accumulated genetic mutations, with potential for local invasion and metastasis via lymphatic or hematogenous routes.
Care
- Prevention: Lifestyle modifications (healthy weight, exercise, limit alcohol). Risk-reducing surgery (e.g., mastectomy/oophorectomy in BRCA carriers). Chemoprevention (e.g., tamoxifen in high-risk women).
- Follow-up:
- Regular clinical exams and mammography.
- Surveillance for recurrence or second cancers. Management of long-term treatment effects and psychosocial support.
- Common symptoms: Palpable breast lump (often painless). Changes in breast size/shape, skin dimpling or thickening. Nipple retraction, discharge (especially bloody), or rash.
- Red-flag symptoms: Axillary lymphadenopathy. Persistent breast pain unrelated to menstrual cycle. signs of advanced disease (e.g., bone pain, jaundice, shortness of breath).
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Royal Bahrain Hospital, Salmaniya

Royal Bahrain Hospital, Salmaniya
Orthopedics, Obstetrics and Gynecology, Urology, General Surgery, Cardiology and Plastic Surgery
93
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77
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15
Services
2011
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