Online Check

What symptoms or questions do you have?

I feel a/several lump(s) in my breast.
YesNo

When did you first notice this/these lump(s)?
Month: , Year:

Approximately how big is this lump?
cm

Have you noticed a change in the shape of the breast or nipple in this connection?
YesNo

Is this lump painful?
YesNo

Has redness of the breast developed in this connection?
YesNo

I have pain in my breast.
YesNo

When did you first notice this pain?
Month: , Year:

Does this pain occur in one breast or both breasts?
in one breastin both breasts

How often does this pain occur?
constantlyirregularlybefore menstruation

My breast is reddened.
YesNo

Since when?
Month: , Year:

Has the redness increased in size since then?
YesNo

Does the redness affect the entire breast or just part of it?
entire breasta part of the breast

Is the breast warmer?
YesNo

Do you have a fever?
YesNo

How high is your fever?
°C

Is the redness associated with pain?
YesNo

Are you pregnant or breastfeeding?
YesNo

Fluid is leaking from the nipple.
YesNo

Is fluid leaking from one or both nipples?
from one breastfrom both breasts

Since when?
Month: , Year:

What does the fluid look like?
colorless-whitishyellowish-reddishbrownish-greenish

Have you had breast cancer in the past and been treated?
YesNo

Do you have anything else you would like to share with us?

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Breast Cancer

What symptoms or questions do you have?