A survey at the doctor
the first of which begins with a survey in the doctor's office - a collection
anamnesis (patient survey). In an interview specialist will find out the age, time
menstruation start, length of the menstrual cycle, the presence of
menstrual disorders (pain, scanty menstruation, and so on.
Do pain in the breast,
presence of genital diseases including venereal, were
Do undergone surgical operations, whether children are, how many and
What age were birth, whether artificial or spontaneous
termination of pregnancy, if so, how much and at what age,
the presence of a close relative (mother, sister), suffering
cancer, chronic diseases, and so on. d.
For any question the doctor need to answer honestly, do not hide any
information or ashamed to talk about their symptoms.
step is inspection and palpation of the breast. Palpation - this
feeling, which is carried out with the fingers on the 5-7th day
beginning of menstruation. This method provides information on the status of breast tissue
Step number 1. at first
the doctor carefully examines both cancer in several positions (standing,
standing with hands raised, lying and sitting). It focuses on
the skin of the glands, the symmetry of their location, shape,
and size of the nipple and areola. Changing even
One of these signs is taken into account in setting the preliminary
diagnosis. For example, a change in color is an indication
inflammatory processes (mastitis) or tumor growth.
Step number 2. Doctor
It begins to probe the breast, nipple, lymph nodes. This is a mandatory
procedure, so do not be embarrassed. There is nothing humiliating.
The doctor needs to know everything, but in this case it might help.
After collecting the history and palpation transferred to instrumental methods of investigation.
Always sent to:
definition of hormonal status;
The diagnostic method is determined by the type and stage of disease.
It is the leading method for diagnosing breast diseases, namely
him and begins breast examination. Mammography do first
phase of the menstrual cycle using a special apparatus.
X-rays passes through the breast so that
I get a shot.
The positive is the
the fact that the radiation dose is small. The sensitivity of the method is very high and
It reaches 86-90%. Before the procedure, you can not use deodorants and
antiperspirants, as this may cause improper
result. In order to obtain images compress the chest. Very important,
that while there was no pain in the gland. Each breast is removed
With the help of X-ray mammography is made possible in a timely manner to identify pathological changes in the breast.
That's why every woman, even in the absence of complaints in 35 years
It has to undergo such an examination. After 40 years of mammography
make 1 time in 2 years, and after 50 - every year. This helps to identify
the disease in the early stages.
As a rule, a mammogram is carried out simultaneously with the US, since these two methods complement each other.
Other methods of examination
Currently, ultrasound is widely used in medical practice, it is
quite effective technique. Data obtained using
ultrasound diagnostics, supplement and clarify the overall picture
disease. ultrasonic wave passed through the gland, and their
reflection is displayed on a special screen that displays
flatteningtneniya, cysts filled with fluid. On US can result
determine the type of mastitis (nodular or diffuse).
Currently, this method is not widely used because it
You can not see the complete picture of the disease, in contrast to the US and
mammography. It is based on the measurement of skin temperature at various
It is believed that in the place where
skin is hot, there is inflammation. Because of the small amount of information in
Currently, thermography is used much less frequently, mostly
as an additional diagnostic method.
needle biopsy. With this method you can determine the tissue that has undergone change as well as to determine the nature of growth (malignant
or benign). However, it is rarely used,
because it is very complicated and is carried out only in laboratories. Puncture
biopsy - a prostate tumor specific puncture needle via
where you can take a sample of tissue for examination under a microscope.
This method of research, with the help of which you can see the ducts
mammary glands. For this purpose they are administered contrast agent is not
transmissive X-rays, and then do a mammogram.
Ductography often used, as it allows to determine the state
all the ducts.
It is used only when it detects cysts. During cyst survey
pierce and remove the contents therefrom, and then introduced into
radiopaque substance. This method allows to determine
mammogram cyst size, its shape and location.
Determination of hormonal status.
To determine the level of hormones in the body to take study
blood test. Be sure to set the content of estrogen,
progesterone and prolactin, which are products of the activities
ovary and pituitary.
Treatment of mastitis
does not stand still, each year to produce new drugs,
both hormonal and non-hormonal, which are more efficient
help cope with the disease.