Disorders of the Femal Reproductive Tract-2 - Benign and...

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Benign and not-so-benign:disorders of the adult femalereproductive tract and lifeUMASS Amherst School of NursingN 325Maria Markenson RNC, BSN, MSACopyright 2013 Kate Green
Benign breast disordersNon life-threatening, not cancer, butnot normal.Fibrocystic breastsFibroadenomasMastitis (see lecture on postpartumcomplications)Usually unassociated with cancer.
Fibrocystic breasts(“benign breast disease”)50-60% all women… so is this a disease atall?
Fibrocystic breasts: Nursing careDecrease caffeine intakeSuggest good sports/ support braControl weight, low-fat dietASA or ibuprofin prnPossibly OCsWarm showers for vasodilationOther meds ONLY for severe cases
FibroadenomasSolid, benign breast tumorsUp to 25% of women, ½ breast biopsies, mostcommon ages 15-35.Change in normal development, not a cancer.Fibrous and glandular tissueRelated to estrogen, progesterone, lactation,pregnancyFirm, rubbery, oval, smooth, mobile,nontender. Usually in 1 breast
Fibroadenomas: nursing careMay do nothing at all, and watch (mostcommon)Often do mammography or ultrasoundNeedle biopsyMay do surgical resection orcryoablation
Breast cancerGroup of diseases with unregulated cell growthFrequently systemic with multiple micrometastasesMost common cancer in women, 2ndleadingcause of women’s cancer deaths (1 % male)1 in 3 cancers diagnosed in U.S. Morality 1:30.Probably genetic, environmental and hormoneinteractive cause.Always a DNA gene mutation, usually chanceUsually asymptomatic, but may have:lump/thickening, retraction changes in skincolor/texture, nipple discharge, swelling/ asymmetry
Breast cancer: disease processVERY variable progress of disease and prognosisOnset in epithelial cells lining mammary ductsClassified in 2 types:

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Term
Fall
Professor
N/A
Tags
Nursing, estrogen, Benign breast disease, benign breast disorders, benign breast

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