BREAST CONDITION CASE STUDY

A 60-year-old Latina female observed a greenish discharge for thepast one month that came from her left breast. She got concerned anddecided to seek for medical examination. She reported that she hadbreast fed all her four children. She also said that she wasoccasionally using Tylenol for arthritis. The mammogram she had done14 months earlier was within the normal limits. She was scared thatbreast cancer might have been growing without her knowledge. Uponexamining her, it was discovered that around the areola of her leftbreast, it was reddish and edematous. A smooth, ovoid, mobile, 1 cmnodule that was non-tender in the RUIQ at 11:00 5 cm from the nipplewas found and a greenish-black discharge exuded upon palpation of theright quadrant of the nipple.

The Latina ladyis suffering from any of the following diseases breast cancer, ductectasia, cyst, intraductal papilloma or breast abscess. Duct ectasiaand intraductal papilloma are eliminated since they are bilateral andproduce bloody discharge respectively. Duct ectasia is characterizedby tenderness while in this case non-tenderness was observed. Breastcancer is also eliminated because it is associated with immobilenon-tender nodule. Breast abscess occur in middle aged women, 20-50years and is also characterized by tenderness. Breast cyst is themost likely diagnosis for the symptoms displayed by the Latina Lady.Breast cyst is characterized by an ovoid, mobile and non-tendernodule these were present in this case.

Breast cyst maybe confused with breast cancer, but it is non-cancerous. The mostcommon intervention for this condition is Fine-needle Aspiration(FNA) which is used to drain the cysts. If the cyst is persistent,recurrent draining is needed. Pharmacologic interventions are notusually used as a treatment. However, tamoxifen at the dosage10mg/5ml may be prescribed to reduce reoccurrence of breast cyst.

Patientengagement is an appropriate strategy for educating the patientconcerning the treatment and management of breast cyst. Thestrategies that will be used in the management of breast cyst areimprovement of health literacy, clinical decision making, self-careand patient safety (Coulter A. &amp Ellins J. 2007).

References

Copstead-Kirkhorn L. C. &amp Banasik J. L. (2014), Pathophysiology– Elseviero VitalSource, Elsevier Health Sciences.

O’Malley F. P, Pinder S. E. &amp Mulligan A. M. (2011) BreastPathology: A Volume in the Series: Foundation in DiagnosticPathology, Elsevier Health Sciences

Riker A. (2014), Breast Disease: Comprehensive Management,Springer

Chinyama C. N. (2013). Benign Breast Diseases: Radiology –Pathology – Risk Assessment, Springer Science &amp BusinessMedia

Dains, J. E., Baumann, L. C., &amp Scheibel, P. (2012).&nbspAdvancedhealth assessment and clinical diagnosis in primary care. St.Louis: Mosby.

Coulter A. &amp Ellins J. (2007), Effectiveness of strategies forinforming, educating, and involving patients, BMJ. 2007 Jul 7335(7609): 24–27