4.7 CLINICAL FEATURES
* Carcinoma of the breast is relatively slow-growing tumour.
Average expectation of life in a patient that gets no
treatment is three years.
* It appears as a small (1 cm.) nodule in any quadrant of the
breast.
* This slow growing nodule is painless; usually has no
accompanying symptoms.
* On palpation, a lesion is firm to hard, its edges are
distinct, usually irregular, at an early stage the nodule may
show no evidence of attachment to surrounding structuresand
move freely.
* This type of presentation is no problem as regard diagnosis
and occurs in nearly 80% of all breast cancers.
* The sites of the lesions and examination methods are depicted
in Fig. 13.6
The remaining tumours (20%) the presentation is atypical and
requires distinguishing from other benign lesions of the breast.
5. T.N.M. CLASSIFICATION
The details are giv in Table above the purpose of this
classification is to be able to accurately record, the extent of
lesion (to compare results with other people's cases) and to be
able to give a reasonably accurate prognosis.
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