1. Manzano, Clairol  Marcelo, Pamela Marcial, Karmi Margaret  Matematico, Michelle Matias, Evangelyn  Maulion, Marienelle

3. 1. Breast Lump 2. Age 3. Family History 4. Reproduction and Menstrual History 5. Radiation Exposure 6. Hormone Replacement Therapy 7. Oral Contraceptives 8. Body Mass Index

4.  Time of recognition  Number  Size  Changes before menstruation  Location  Shape  Borders  Mobility  Tenderness  Pain

5.   Age =  Breast Cancer risk  Family History  Relative Risk of Cancer: 1 st degree > 2 nd degree Sister > Mother Highest risk: (+) FH – Mother and Sister  Early Menarche & Late Menopause   Breast Cancer risk  Nulligravidity is a risk   Radiation Exposure =  Breast Cancer risk  HRT, Contraceptives, Obesity   Estrogen Exposure =  Breast Cancer risk

6. Benign Lesion Malignant Lesion No skins changesSkin Dimpling No lymphadenopathyLymphadenopathy No nipple retractionsNipple Retractions No Peau d’ OrangePeau d’ Orange Soft / Rubbery ConsistencySolid/Hard Consistency MobileFixed/Immobile Well-defined bordersPoorly delineated borders Regular MarginsIrregular Margins

8.  FIBROADENOMA  Benign fibroepithelial neoplasm from the terminal duct lobular unit of the breast  Painless, firm, solitary, mobile  Occurs in young women of child bearing years ▪ (20 to 30 years old)  Size: 2 – 3 cm  Borders: Well-defined  Margins: Regular  NOT PREMALIGNANT

9.  Mammography  Indeterminate Mass with suspicion of cancer  Pre-requisite prior BCT  Follow-up after BCT and of contralateral breast  Ultrasound  Distinguish between solid and cystic masses  Provide guidance for cyst aspiration or core biopsy  For palpable mass that is partially or poorly seen on a mammogram

10.  Fine Needle Aspiration Biopsy  Below 25 years old: OBSERVATION  25 to 35 years old: OBSERVATION/EXCISION  Above 35 years old: EXCISION  Follow up: PE and Mammography  Cryoablation Treatment  Alternative to open surgical removal of fibroadenoma

12.  History  Physical Examination  Bilateral Mammography  Fine Needle Aspiration Biopsy  Cytology