198.81 Secondary malignant neoplasm of breast
233 Carcinoma in situ of breast and genitourinary system
233.0 Carcinoma in situ of breast
PREFERRED PRACTICE PATTERNS
4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation1
6B: Impaired Aerobic Capacity/Endurance Associated with Deconditioning2
6H: Impaired Circulation and Anthropometric Dimensions Associated with Lymphatic System Disorders3
A 60-year-old woman is noted to have a 2-cm mass in the left breast. The patient’s physician recommends that a core needle biopsy be performed. Tissue analysis by the pathologist under the microscope reveals intraductal carcinoma. The patient is advised by the surgeon to have surgery to remove the primary breast mass in addition to some lymph nodes. The patient undergoes wide excision of the breast mass and lymph node removal.4 Patient comes to physical therapy for scar and lymphedema management.
Magnification view of microcalcifications seen on a screening mammogram of a patient. Note the pleomorphism of the microcalcifications. The size varies from very fine to coarse, and shapes are bizarre. This appearance is typical of comedocarcinoma. (From Chen MYM, Pope TL, Ott DJ. Basic Radiology. 2nd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
Not always associated with pain
Lumps in breast or axilla
Change in breast/nipple shape or color
Sonographic appearance of palpable breast masses. (From Hoffman BL, Schorge j, Schaffer j, Halvorson l, Bradshaw k, Cunningham F. Williams Gynecology. 2nd ed. www.accessmedicine.com. Copyright © The McGraw-Hill Companies, Inc. All rights reserved.)
SIGNS AND SYMPTOMS
Lumps, hard knots, or thickening in any part of the breast
Swelling, warmth, redness, darkening
Change in size or shape of breast
Dimpling or puckering of the skin
Itchy, scaly sore or rash on the nipple
New pain in one spot that does not go away
Pulling in of nipple or ...
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