1. Step 9
1.1. Review session 3
1.2. visualize the data and theory
1.2.1. firm lump
1.2.2. most common after menopause
1.2.3. it shows on mammogram
1.3. structured concept map
1.4. 20 minutes
2. Step 10
2.1. Management (for the individual)
2.2. based on:
2.2.1. patient's problem list
2.2.1.1. 58 estrogene
2.2.1.2. 36 progestrone
2.2.2. goals
2.2.2.1. removal of the lump
2.2.3. options
2.2.3.1. surgeries
2.2.3.1.1. BCT
2.2.3.1.2. mastectomy
2.2.3.1.3. sentinel lymph node biopsy
2.2.3.1.4. breast reconstruction after the surgeries
2.2.3.2. radiation
2.2.3.2.1. internal radiation therapy
2.2.3.2.2. external radiation therapy
2.2.3.3. hormone therapy
2.2.3.3.1. Tamoxifen
2.2.3.3.2. aromatase inhibitor
2.2.3.3.3. raloxifen
2.2.4. qualifying factors
2.2.4.1. massage
2.2.4.2. exercise
2.2.4.3. support
2.2.4.4. participate in clinical trials
2.2.5. evidence
2.3. Outcome
2.4. Prevention (for the population)
2.4.1. campaigns in schools and colleges
2.4.2. self-examination
2.4.3. usual mammogram 2-3 years above 40
2.4.3.1. before 40 years: once per 4 years
2.4.4. education about the case
2.4.5. decrease environmental pollution
2.4.6. healthy diet
2.4.7. decrease the exposure to estrogen
2.4.7.1. early menopause
2.4.7.2. early pregnancy
2.4.7.3. late menstruation
2.4.7.4. breast-feeding
2.4.7.5. ovarian ablation
2.4.8. prophylactic chemotherapy
2.4.8.1. tamoxifen
2.4.8.2. relaxifen
2.4.8.3. aromatase inhibitor
2.4.9. prophylactic mastectomy