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History taking in breast disease

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The history should cover the following:

  • age:
    • less than 30 years
    • older than 50 years

  • lump:
    • when first noted
    • tenderness
    • change in size

  • nipple discharge:
    • colour
    • unilateral or bilateral
    • any associated mass

  • recent nipple inversion

  • eczema, dimpling, ulceration

  • evidence of systemic disease

  • relevant gynaecological history:
    • age of menarche, menopause
    • parity, age at first pregnancy, breast feeding
    • use of oral contraceptives, hormone replacement therapy

  • relevant past medical history:
    • previous breast disease - benign, malignant
    • recent breast trauma
    • prior breast radiation exposure

  • family history of breast disease

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