Question

You moved to a town of 5000 to join a family practice with two other physicians.

You are enjoying the town very much and find everyone friendly and welcoming. The clinic staff seem to know everyone in town and often provide you with background information about patients and their families. Your wife teaches at the local school and one of her colleagues is married to one of your office staff. Last week your wife overheard her colleague talking about a patient who has been diagnosed with breast cancer and he said he learned about it from his wife who works at the medical clinic.

What do you do?

Answer 1

Firstly taken consent of patient for breast examination

If patient given consent do further investigation process

Inspection- see any signs of skin involmet do to cancer like nipple eczema, redness and retraction at nipple area ,rippling and any previous surgery scar

Palaption- check for lump size and lump in Wich quadrant

Tenderness and lump are hard or soft and moveable or fix

After examination if suspect breast cancer do some investigating

1st do mammography if age >45 year

And taken sample of core needle biopsy

And refer to a surgeon