Section Name Description
Module 1: Lesson 1: Anatomy of the Breast URL Breast Anatomy (7 mins)

Read the web page and then click on the ‘Next’ button found at the bottom of the screen to access the three subsequent web pages titled “Quadrants of the Breast”, “Regional Lymph Nodes”, and “Review”.  Read the content of those web pages as well to understand the basic anatomy of the breast.

URL Anatomy Atlases - Atlas of Microscopic Anatomy - A Functional Approach: Companion to Histology and Neuroanatomy: Second Edition (13 mins)

Click on the corresponding links to access plates 13.253-13.256.  Examine the plates and read the accompanying text to learn about the microscopic anatomy of the mammary gland.

URL Anatomy of the nipple and breast ducts (15 mins)

Read the entire article to learn about the anatomy of the nipple and breast ducts.

Module 2: Lesson 1: Physiology of the Breast URL Health Library: Normal Breast Development and Changes (6 mins)

Read the web page to understand normal breast development as well as the physiologic changes that occur throughout life.

URL Breastfeeding Protocols for Health Care Providers (15 mins)

Scroll down to the section titled “How the Breast Works” (pages 11-15) to understand Lactogenesis I and II as well as hormonal influences on milk production and let-down.

Module 3: Lesson 1: Benign Disorders of the Breast URL Breast Masses (Breast Lumps) (8 mins)

Read the entire article to learn about breast masses.

URL Diagnosis and Management of Fibroadenomas in the Adolescent Breast (3 mins)

Read down from the section titled "Abstract" to the end of the section titled "Presentation" to learn more about fibroadenomas, a benign breast mass.

URL Nipple Discharge (8 mins)

Read the entire article to learn about nipple discharge.

URL Common Breast Problems (22 mins)

Scroll down and read the section titled ʺMastalgiaʺ (pages 346-348) including Figure 2 to learn about breast pain.

URL Breast infection (3 mins)

Read the web page to learn about mastitis.

URL Breast Asymmetry (10 mins)

Read pages 5-7 to learn more about the different types of breast asymmetry.

URL The Adolescent Breast (3 mins)

Scroll down and read section 16.6 titled "Virginal hypertrophy" to learn about the excessive breast size condition.

URL The Adolescent Breast (5 mins)

Scroll down and read section 16.5 titled "Underdeveloped breasts", including section 16.5.1 titled "Tuberous breasts".

URL Evaluation of Breast Disorders (10 mins)

Read the subsections titled "History" and "Breast examination".  The rest of the article is optional reading.

URL Follow-up of Abnormal Breast Findings (20 mins)

Read slides 3-11 to learn about nipple discharge.

URL Mastalgia (Breast Pain) (3 mins)

Read the article to learn more about breast pain.

URL Congenital abnormalities of the breast (27 mins)

Read the entire article to learn about congenital abnormalities of the breast including asymmetry.

URL Hyperplastic Breast Anomalies in the Female Adolescent Breast (21 mins)

Read the entire article to learn about Macromastia in adolescents.

URL Hypoplastic Breast Anomalies in the Female Adolescent Breast (26 mins)

Read the article to learn about hypoplastic breast anomalies.

URL A Practical Guide to Clinical Medicine: A comprehensive physical examination and clinical education site for medical students and other health care professionals: Breast Examination (16 mins)

Scroll down and read the entire content under the heading titled "Breast Examination". 

URL Breast Cancer / Breast Self-Examination (BSE) (15 mins)

Read the introduction, then click on the links to learn how to perform a breast self-examination.

Module 4: Lesson 1: Routine Screening for Selected Diseases of the Breast URL Benign Breast Disease: When to treat, when to reassure, when to refer (35 mins)

Download the full article.  Then, read the entire article to gain an understanding of the work-up and management of common benign breast disorders.

URL Evaluation of Palpable Breast Masses (30 mins)

Read the entire article to understand the importance and role of taking: a history, a physical exam, an image, and a biopsy during the work-up of a palpable breast mass.

URL The Evaluation of Common Breast Problems (25 mins)

Read the entire article, including the sections on cyclic and noncyclic breast pain.

Module 5: Lesson 1: Epidemiology and Risk Assessment for Breast Cancer URL Identification and management of women with a family history of breast cancer: Practical guide for clinicians. (19 mins)

Read the entire article to learn how to take a family history of breast cancer.

URL Importance of a Personal History of Breast Cancer as a Risk Factor for the Development of Subsequent Breast Cancer: Results From Screening Breast MRI (20 mins)

Read the entire article to learn about the importance of a personal history of breast cancer.

URL Breast Cancer Prevention (PDQ) - Health Professional Version (14 mins)

Read the sections titled "Who's at risk?" and "Overview" to learn about the factors associated with increased and decreased risk of breast cancer, as well as the interventions that reduce the risk of breast cancer.

URL Breast cancer statistics, 2013 (39 mins)

Read the entire article to become aware of the ethnic trends in breast cancer incidence in the United States.

URL Breast Cancer Risk Assessment Tool (5 mins)

Read the entire web page and familiarize yourself with factors used in the risk calculator.

URL American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention - Reducing the Risk of Cancer with Healthy Food Choices and Physical Activity (150 mins)

Read the entire article with a focus on the updated ACS recommendations for individual choices regarding diet and physical activity patterns to reduce the risk of breast cancer.

URL Breast Cancer: Medications for Risk Reduction (45 mins)

Read the content of the table titled ʺSummary of Recommendations and Evidenceʺ.  Then, download the Full Recommendation Statement, by clicking on the link below the table. Read the Recommendation Statement.

URL Cancer Screening in the United States, 2016: A Review of Current American Cancer Society Guidelines and Current Issues in Cancer Screening (60 mins)

Read pages 96-103 and review Table 2 for information related to breast cancer.

URL Final Recommendation Statement - Breast Cancer: Screening (36 mins)

Read the web page to understand the current recommendations for breast cancer screening as well as the controversies and differences in recommendations by different expert societies and guidelines.

URL Genetic Counseling for Hereditary Breast and Ovarian Cancer (20 mins)

Read the entire web page except for the section pertaining to insurance coverage.  Then, click on the link titled ʺgenetic testingʺ found at the bottom of the web page and read the content of that link.  Make sure you understand what a strong, moderate and average family history of breast cancer means.

URL Tobacco Use and Women’s Health

Read the content from the heading ‘Forms of Tobacco’ to the end of the article.  (15 minutes)

URL Alcohol and Cancer in the WHO European Region

Read the content on pages 5-12. (17 minutes)

URL Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer (6 mins)

Read section 1.1 titled "Clinical significance of a family history of breast cancer" to learn more about taking a family history of breast cancer.

URL Risks and Benefits of Estrogen Plus Progestin in Healthy Postmenopausal Women: Principal Results From the Women's Health Initiative Randomized Controlled Trial (30 mins)

Read the article to understand the association between postmenopausal hormonal replacement therapy and breast cancer risk.

URL American Cancer Society Guidelines for Breast Screening with MRI as an Adjunct to Mammography (67 mins)

Read the entire article that expands on the role of MRI in breast cancer screening.

Module 6: Lesson 1: Basic Mechanisms of Genetic Inheritance URL Your Guide to Understanding Genetic Conditions: Breast Cancer (9 mins)

Read the sections titled "Description", "Frequency", "Causes", and "Inheritance Pattern".  This resource provides information about hereditary breast cancer.

URL Final Recommendation Statement: BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing (42 mins)

Read the entire recommendation statement to understand the current indications for screening for BRCA1 and BRCA2.

URL Genetics of breast cancer: a topic in evolution (31 mins)

Read the article to learn more about the genetics of breast cancer.

URL BRCA1 and BRCA2: Cancer Risk and Genetic Testing (4 mins)

Scroll down and read the section titled "Who should consider genetic testing for BRCA1 and BRCA2 mutations?".  The rest of the text is optional reading.

Module 7: Lesson 1: Diagnosis of Invasive Carcinoma of the Breast URL What Is Breast Cancer? (4 mins)

Read the entire web page.  Then, click on the link titled "How Is Breast Cancer Diagnosed?" found on the left side of the web page and read the content.

URL Pathogenesis, prevention, diagnosis and treatment of breast cancer (53 mins)

Read the entire review article.  This article describes various imaging techniques used in screening as well as the techniques used in diagnosis.

URL Mammograms (70 mins)

Read the entire web page.   Ensure you click on the link to each subtopic to learn more about mammograms.  Then, click on the links titled "Breast Ultrasound", "Breast MRI Scans", and "Breast Biopsy" found on the left-hand side of the web page and read the content of each page.  After reading the content of the "Breast Biopsy" web page, click on the link to "Fine needle aspiration (FNA) biopsy"  and read the content of that page.  Then, click on the links titled "Core Needle Biopsy of the Breast" and "Surgical Breast Biopsy" found on the left side of the web page and read the entire content of those links.

URL The American Society of Breast Surgeons - Performance and Practice Guidelines for Excisional Breast Biopsy (2 mins)

Scroll down and read the section titled "Article II - Indications" to learn about the indications for excisional biopsy.

URL Magnetic resonance imaging in breast cancer: A literature review and future perspectives. (26 mins)

Read the entire article to learn about the value of MRI in breast cancer screening and staging.

URL Common Breast Problems (20 mins)

Read down to the section titled "Mastalgia".  Then, read from the section titled "Nipple Discharge" to learn about the indications for various diagnostic studies.

Course Activities Page Peer Activities.
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