Thursday, January 19, 2012
Talking bout Fibroadenoma
Fibroadenoma is the most common benign tumor of the breast and the most common breast tumor in women under age 30.
A fibroadenoma is made up of breast gland tissue and tissue that helps support the breast gland tissue.
Black women tend to develop fibroadenomas more often and at an earlier age than white women. The cause of fibroadenomas is not known.
Symptoms
Fibroadenomas are usually single lumps, but about 10 - 15% of women have several lumps that may affect both breasts.
Lumps may be:
Easily moveable under the skin
Firm
Painless
Rubbery
They have smooth, well-defined borders. They may grow in size, especially during pregnancy. Fibroadenomas often get smaller after menopause (if a woman is not taking hormone replacement therapy).
Signs and tests
After a physical examination, one or both of the following tests are usually done:
A core needle biopsy may be done to get a definite diagnosis. Women in their teens or early 20s may not need a biopsy if the lump goes away on its own or if the lump does not change over a long period of time.
For more information on the different types of breast biopsies, see:
Treatment
If a biopsy shows that the lump is a fibroadenoma, the lump may be left in place or removed.
The decision to remove the lump is made by the patient and the surgeon. Reasons to have it removed include:
Abnormal biopsy results
Pain or other symptoms occur
Worry or concern about cancer
If the lump is not removed, your health care provider will watch to see if it changes or grows. This may be done using
Mammogram
Physical examination
Ultrasound
Sometimes, the lump may be destroyed without removing it, using freezing. This is called cryoablation.
Expectations (prognosis)
Women with fibroadenoma have a slightly higher risk of breast cancer later in life. Lumps that are not removed should be checked regularly by physical exams and imaging tests, following the doctor's recommendations.
Complications
If the lump is left in place and carefully watched, it may need to be removed at a later time if it changes or grows.
In very rare cases, the lump may be cancer. You may need further treatment.
Saturday, January 14, 2012
My uvula
Dear Ask The Doctor: I noticed tonight that my uvula deviates to the left. I don't spend much time looking at it, so I'd never noticed it before. There are no oropharyngeal masses or tonsilar inflammation. I know uvular deviation can indicate a vagus motor lesion, but I am not experiencing any associated symptoms. I am wondering if this is something I should be concerned about or if there are cases of nonpathological uvular deviation?
Dear Erin: The uvula is innervated by the vagus nerve (Cranial Nerve X). Deviation of the uvula to one side implies a lower motor lesion of the vagus nerve opposite to the side the uvula is deviating to. An upper motor neuron vagus nerve lesion will present with the uvula deviating toward the side of the lesion. I would advise attending your family physician for history of any associated symptoms (difficulty swallowing, speech problems, nasal regurgitation, hoarseness) and physical examination including cranial nerve examination and testing the gag reflex, which is innervated by the vagus nerve, to identify any cranial nerve pathology and investigation as appropriate.
Thursday, January 12, 2012
Discipline is Hard
Tuesday, January 3, 2012
Forensic & Legal Medicine???
Prof. Denis Cusack @ European Council of Legal Medicine
Sunday, January 1, 2012
welcome back to Medical worldddd...
I think I'm gonna fall
Wish I have the talent
I don't belong here at all
Drowning in a pressure
In above the head
Why did I think I can do this?
I could have walk away instead
This is my chance to break free
Everything's depending on me
And if
I keep trying, I'll be-
[ Lyrics from: http://www.lyricsmode.com/lyrics/b/barbie/on_top_of_the_world.html ]
On top of the world
Where I can see everything before me.
Reaching up to touch the sky
On top of the world
All of my dreams
Are rushed into me
Stretching on my wings to fly
On top of the world!
On top of the world...
Nothing gonna break me
Gonna get it right
Even if it takes me
Do it in a thousand times
Trying one is easy
Discipline is hard
But nothing can defeat me
If the changes in my heart
This is my chance to break free
Everything's depending on me
And if
I keep trying, I'll be-
Where I can see
Everything before me.
Stretching on my wings to fly
On top of the world!
