Medical history collection for breast cancer

Breast cancer history collection:

1. History of present illness

① When and how the breast lump was discovered, how fast it grew, whether it was accompanied by pain and whether it had a regular relationship with the menstrual cycle, whether it had ever shrunk significantly, and whether it occurred during pregnancy or breastfeeding.

② Whether there is discharge or erosion from the nipple, and what is the nature of the discharge.

③ What kind of examination or treatment has been done on the breast and what were the results. If a biopsy was done, the date, method, pathological diagnosis, and whether estrogen and progesterone were measured should be known. If radiotherapy or chemotherapy was done, the course of treatment and the effect should be recorded.

④ You must also pay attention to whether there is enlarged lymph nodes in the armpits and whether it develops.

2. Past medical history

①Whether the breast development is normal since childhood, whether the size of the breasts and the height of the nipples are symmetrical over the years. Whether the nipples or skin have ever been inverted. If there are these abnormalities, it is necessary to distinguish whether they are congenital or caused by recent diseases.

②Has the breast ever been injured? Is there a history of inflammation or tumor? What symptoms or signs were there at the time? What treatment measures were taken and what were the results?

③Whether married and age at marriage.

④ Have you ever suffered from functional diseases of the uterus or adrenal glands? Due to endocrine relationship, if there are abnormalities in these two organs, the risk of breast tumors increases.

3. Menstrual and marital history

① Age of menarche, menstrual status, age of amenorrhea and associated symptoms.

② What changes occur in the breasts during the menstrual cycle? Is there any pain?

③Whether the mother has ever given birth, age of first full-term birth, number of babies born in total, and whether the mother has breastfed (unilateral or bilateral and for how long).

4. Family history of cancer

①Whether there are breast cancer patients in the family (father, mother, age of cancer, unilateral or bilateral).

②Whether there are other patients with malignant tumors in the direct family.