Treatments for Fibroadenoma
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Breast Masses:
Treatment
(In a Page: Signs and Symptoms)
-
Fibroadenoma
–Requires surgical excision for diagnosis and treatment
–Routine follow up after excision (no increased risk of malignancy)
-
Fibrocystic changes
–Caffeine avoidance is often effective
–Aspirate large or painful cysts
–Vitamin E is used to reduce fibrocystic changes
–Medical therapies (e.g., danazol, oral contraceptives) for pain relief
–Routine follow up is sufficient unless cytologic atypia is present
-
Breast cancer
–Consultation with medical and radiation oncologist
–Surgery, radiation, chemotherapy, and/or hormonal therapy as indicated by stage
Galactocele
–Needle aspiration is usually curative
>
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Malignant spinal neoplasms:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of spinal cord tumors generally includes decompression or radiation. Laminectomy is indicated for primary tumors that produce spinal cord or cauda equina compression; it isn't usually indicated for metastatic tumors. If the tumor is slowly progressive or if it's treated before the cord degenerates from compression, symptoms are likely to disappear, and complete restoration of function is possible. In a patient with metastatic carcinoma or lymphoma who suddenly experiences complete transverse myelitis with spinal shock, functional improvement is unlikely, even with treatment, and his outlook is ominous. If the patient has incomplete paraplegia of rapid onset, emergency surgical decompression may save cord function. Steroid therapy with dexamethasone minimizes cord edema and temporarily relieves symptoms until surgery can be performed. Partial removal of intramedullary gliomas, followed by radiation, may alleviate symptoms for a short time. Metastatic extradural tumors can be controlled with radiation, analgesics and, in the case of hormone-mediated tumors (breast and prostate), appropriate hormone therapy. Transcutaneous electrical nerve stimulation (TENS) may control radicular pain from spinal cord tumors and is a useful alternative to opioid analgesics. In TENS, an electrical charge is applied to the skin to stimulate large-diameter nerve fibers and thereby inhibit transmission of pain impulses through small-diameter nerve fibers. Chemotherapy generally hasn't proven effective against most spinal tumors, but may be recommended in some cases.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Breast nodule [Breast lump]:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
When teaching patients how to perform breast self-examination, advise them to do the examination 5 to 7 days after the first day of their last menstrual period.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Breast nodule [Breast lump]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Provide a simple explanation of your examination, and encourage the patient to express her feelings.
▪ Prepare the patient for diagnostic tests, which may include transillumination, mammography, thermography, needle aspiration or open biopsy, and cytologic examination of nipple discharge.
▪ Postpone teaching the patient how to perform breast self-examination until she overcomes her initial anxiety at discovering a nodule.
▪ Although most nodules occurring in the breast-feeding patient result from mastitis, the possibility of cancer demands careful evaluation.
Patient teaching
▪ Advise the patient with mastitis to pump her breasts to prevent further milk stasis, to discard the milk, and to substitute formula until the infection responds to antibiotics.
▪ Explain the importance of clinical breast examination and mammography following the American Cancer Society guidelines.
▪ Teach the patient how to perform breast self-examination.
▪ Explain how to treat mastitis.
▪ Teach the patient about the cause of the breast nodule and the treatment plan after a diagnosis is established.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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