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Breast and Endocrine Diseases Clinic

Breast Diseases

  • Breast pain
  • Nipple Discharge
  • Breast Lumps
  • Breast Cancer
  • Breast Cancer
    Early detection and treatments are extremely important in curing breast cancer.
    Breast Self-Exam (BSE)
    Part A - Lying Down or in the Shower
    Feel for any change in your breast tissue e.g. Thickening or Hard Lump
    1. Put your right hand behind your head and use the pads of the three middle fingers of your left hand to examin your right breast (use soapy water if in shower)
    2. Press using light, medium and firm pressure in a circular motion, then follow an up and down pattern and then a wedge pattern.
    3. Feel for changes in your breast, above and below your collarbone and in your armpit area.
    4. Repeat these steps with your left breast.
    Part B - In front of a mirror
    Look for changes in shape, size or appearance of your breasts e.g. Dimpling, Rash or Puckering of the skin or Nipple, Nipple Discharge or Any Change from Normal
    Inspect your breast in following ways:
    1. Holding arms at sides
    2. Holding arm overhead
    3. Pressing hands on hips to tighten chest muscles
    4. Bending forward with hands on hips
    Investigations for Breast Diseases
    Breast Imaging
    Mammography
    Ultrasound
    MRI
    Biopsy
    Receptor Assays
    Genetic Mapping
    Treatment and Surgical Procedures
  • Lumpectomy and Mastectomy
  • Oncoplastic Surgery
  • Chemotherapy and Radiation
  • Cancer Survivorship
  • Thyroid and Para-Thyroid Diseases

    Hyperthyrodism or overactive thyroid

    Hypothyrodism or underactive thyroid

    Women and thyroid diseases related to pregnancy and infertility

    Thyroid Nodules

    Thyroid Cancer
    Risk Factors:
  • Radiation Exposure
  • Genetic Factors
  • Types & their approaches:
    Type Symptoms Diagnosis By Treatment

    Papillary

    Usually none Some may experience

  • Voice change (hoarseness)
  • Chronically swollen lymph node
  • Fine needle aspirate
  • (FNA is very accurate)

    Surgery Recurrence treated by surgery or radioactive iodine

    Follicular

    Same as papillary cancer except swollen lymph nodes are rare

  • Fine needle aspirate
  • Coarse needle biopsy used to clarify FNA
  • Difficult to diagnose FNA not always accurate
  • Surgery

    Medullary

    Usually none Later stage symptoms:

  • Hoarseness
  • Difficulty swallowing
  • Difficulty breathing
  • Chronically swollen lymph node
  • Hereditary forms may produce:

  • Hypertension
  • Increased heart rate
  • Headaches
  • Other endocrine diseases
  • Fine needle biopsy (FNA is usually accurate)
  • Calcitonin blood test
  • Surgery after other associated tumors are ruled out or treated

    Anaplastic

  • Difficulty breathing
  • Voice change
  • Chronically swollen lymph node
  • Coarse needle biopsy
  • Surgical biopsy (Biopsy is usually accurate)
  • Early stage: Surgery

    Late stage: Inoperable

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