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Discussion 5.docx - D5 What are two questions you would ask...

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D5What are two questions you would ask this patient?Just because the patient has a lump in their breast, it does not meanthat it is cancerous. Most lumps in the breast actually turn out to bebenign so that is why it is important to ask questions and performexaminations and tests that would either rule out or confirm whetheror not the lump in the breast is cancerous or benign.I would ask the patient if the lump in her breast feels different atdifferent times of her cycle. if the lump changes throughout the cyclethen the lump could be the cause of fibrocystic changes. Fibrocysticchanges benign growths that cause pain and is defined as “changes inhormone balances during the normal, monthly menstrual cycle cancreate, for some women, symptomatic breast changes” (Benign BreastDisease.2015).The second question I would ask is if the patient had any recenttrauma which could cause traumatic fat necrosis which occurs whenthere is an injury to the breast and the fat in the breast “form in lumps.The lumps are usually round, firm, hard, single, and painless” (BenignBreast Disease. 2015). If there is a yes to these questions then thediagnosis is most likely benign but either way, tests are needed toconfirm that the lumps are not cancerous and then a follow up may beneeded to make sure that the size of the lump did not change in 6months. Risk factors must be assessed also.What are two risk factors you would assess for?According to the CDC, the two major risk factors that can lead to breastcancer include genetics and family history. The risk however is “higherif she has a mother, sister, or daughter (first-degree relative) ormultiple family members on either her mother’s or father’s side of thefamily who have had breast cancer” (Breast Cancer. 2018). I wouldinquire if the patient has a family history of breast cancer.I would alsoconduct a genetic test to determine if she has the BRCA 1 and 2 genes.The individuals who have inherited this mutations are at a much higherrisk for developing breast cancer.A risk factor that is important to consider is the risk that if the patientdiagnostic tests reveal that she does have cancer, it is essential tdetermine the risk of the cancer coming back after the treatmentprocess. There is a test called the Oncotype Dx test which will helpdetermine the best treatments for the individual patient and minimize

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