CaseStudy of Patient with Breast Conditions

A34-year-old female who had G2p1 came for a test due to the problem ofher left breast mass. The patient had been feeling mass increase onthe upper outer quadrant of her left breast for six months. Thebreast was movable, non-tender but she had never made anyconsultation about the matter before (Schuiling &amp Likis, 2013).Again, her left breast had developed some skin dimpling accompaniedwith a tenderness which prompted her to seek consult.

PatientHistory and Medical Treatment

Thepatient was neither smoking nor drinking alcohol and she had aregular monthly menstruation. The woman breast condition might be agenetic problem because her cousin had died two years ago from breastcancer. Still, her father was recently diagnosed with diabetesmellitus with vascular disease and nephropathy (Schuiling &ampLikis, 2013). The patient needs a test for Diagnostic Mammography toexamine her breasts and to prevent immediate biopsy. Furthermore,ultrasound will be conducted either to identify cysts or the biopsyproblem.


Iwould have encouraged the patient to comply with the doctor’srecommendations on drugs and also to be attending regular medicalchecks. I would also have an open discussion with the woman aboutmedication options and alternatives that may be used to treat herconditions (Tharpe &amp Jordan, 2013). For instance, if she is notready for the ultrasound then the Physical examination can beconducted.


Thepatient should have frequent breast self-examination (BSE) for earlyidentification of any disease occurrence. I will also advise thewoman to keep on examining her breast monthly especially nipple andareola, and also to seek medical advice in case of elicit nippledischarge (Women`s Health, 2016). Further, physical examinations areessential because they help to identify lesions which cancerous.Since the patient is in premenopausal, physical assessment on lesionsshould be re-examined in 2-4 weeks.

ActingDifferently on Patient Plans of Care

Sincethere is a dominant mass increase on patient left breast and she isin the premenopausal stage, I would have aspirated the women withfine-needle biopsy or refer her to a surgeon (Women`s Health, 2016).Still, I would have emphasized much on triple diagnostic techniques(palpation, mammography, aspiration) that help to avoid biopsy.


Schuiling,K. D., &amp Likis, F. E. (2013). Women`sgynecologic health.Jones &amp Bartlett Publishers.

Tharpe,N. L., Farley, C. L., &amp Jordan, R. G. (2013). Clinicalpractice guidelines for midwifery &amp women`s health.Jones &amp Bartlett Learning.

&quotWomen`sHealth – CDC&quot.,2016. Online. Internet. 11 Jul. 2016. . Available: