我的乳房为什么会痛?这是什么疙瘩?是乳头溢液我正常吗?当你的家庭医生和妇科医生不能钉下那些令人烦恼的乳腺症状的原因您遇到,它的时间看乳腺专科。
Here's a typical scenario faced by many younger women.
You feel a lump in your breast. Your family doctor orders an超声.
The ultrasound rules out a cyst, but is inconclusive. So you have amammogram.
That, too, is inconclusive. The radiologist says he thinks it's just an area of scar tissue, or perhaps afibroadenoma- a benign tumor common in women your age.
他告诉你它可能没有什么后顾之忧,但你应该回来了另一个乳房X光检查6个月 - 是否有任何的改变。
So, you have a lump in your breast; it appeared out of the blue, and no one knows what it is.
You're unable to shake it off as "probably nothing to worry about."
"What if it IS cancer? Do I really want to wait 6 months to find out?"
什么是你的下一个步骤?
Well, you can ignore the lump, and hope it goes away. Many women are comfortable with this course of action; it saves money, time, and odds it's nothing to worry about - since the vast majority of breast lumps are NOT cancer.
But some women are simply unable to let go and move on. If you're one of those women - someone who wants definitive answers, who won't be comfortable until you find out exactly what that lump is, and what it might become - you'll want to see a breast specialist.
Why can't your family practitioner help you? Doesn't "general practice" mean your GP knows a little bit about everything?
Yes, but the key words here are "little bit." Your GP knows just enough about that lump in your breast to get the diagnostic process started with a mammogram or ultrasound. If those tools don't identify a specific cause for your symptoms, your GP is probably at the end of his/her range of knowledge, and will need to hand you off to someone else - a breast specialist.
什么样的健康护理专业是一个乳房specialist (or breast health specialist)? And where would you find one?
A breast specialist - unlike, say, a pathologist, dermatologist, or oncologist - is not board-certified in that specific specialty. Instead it's a doctor, physician's assistant, or nurse practitioner who's focused his/her study on diseases and conditions of the breast.
想想乳腺专科的人谁处理乳房健康的,就像你的产科/妇科处理生殖健康。
Breast specialists deal with all kinds of breast issues, from breast pain and soreness, to mastitis (breast infection), to unexplained nipple discharge. They're usually found at a hospital, as part of the women's health program
您也可以在癌症中心称掌握专家。这并不是因为大多数乳房问题变成是癌症。事实上,绝大多数的乳房问题,无关与癌症。但是,很多女性看到了乳腺专科在那里排除肿瘤和癌症中心有必要做到这一点的诊断工具和卫生保健人员。
Your family doctor or OB/GYN is the best person to refer you to a breast specialist in your local area, or within your health insurance plan's network.
So, what will your visit to the breast specialist entail?
S/he will take your complete history, including any family history of breast cancer, which may or may not increase your personal risk. S/he will also ask you about diet; exercise, and lifestyle, all of which can impact breast health. For instance, caffeine can exacerbate a painful (though basically harmless) fibroadenoma, a benign breast tumor.
他/她也来看看之前测试的任何结果;并订购任何新的诊断测试,他/她认为必要的。
A breast specialist's greater depth of experience treating breast issues gives him or her more insight into just what might be causing a specific type of lump; and this added experience may translate into additional tests - or it may not.
听你的,你检查,并查看您的测试后,乳腺专科可能会说,“我想你需要活检尽快。”
On the other hand, s/he may conclude, "I agree with the opinions you've gotten so far; there's really no need for a biopsy at this time, though you should have another mammogram in 6 months."
What's really important, at the end of the day, is that you can reassure yourself you've seen the health-care professional best able to assess and evaluate that lump in your breast.