BREAST DISEASES

by Borgen,Patrick I.

• ISBN13: 9781570595783
• ISBN10: 157059578X
• Edition: 1st
• Format: Spiral Bound
• Copyright: 2000-01-01
• Publisher: CRC Press

Summary

Memorial Sloan-Kettering Cancer Center, New York, NY. Pocket-sized, spiral-bound handbook which encapsulates current thinking on a wide range of topics, from normal breast anatomy through the management of Stage IV breast cancer. For medical students, residents, and physicians. DNLM: Breast Diseases--Handbooks.

Table of Contents

Anatomy of the Breast and Axilla	p. 1
Embryology/Development	p. 1
Adult Breast Morphology	p. 2
Thoracic Wall	p. 3
Axilla	p. 8
Assessment and Investigation of Common Breast Symptoms	p. 14
Routine Screening for Breast Cancer	p. 14
Assessment of Common Breast Symptoms	p. 15
Diagnostic Evaluation	p. 19
Pathologic Evaluation	p. 20
Evaluation and Management of Common Breast Symptoms	p. 22
Benign Breast Disease	p. 30
General Approach to Patients Presenting with Benign Breast Disease	p. 30
Breast Pain	p. 31
Nodularity	p. 34
Fibroadenoma	p. 35
Hamartoma	p. 43
Cysts	p. 45
Duct Ectasia	p. 49
Periductal Mastitis	p. 50
Mammary Duct Fistula	p. 51
Duct Papilloma	p. 52
Multiple Peripheral Papillomas	p. 55
Juvenile Papillomatosis	p. 55
Abscess	p. 56
Nonlactating Breast Infection	p. 58
Hematoma	p. 59
Fat Necrosis	p. 60
Radial Scar	p. 62
Sclerosing Adenosis	p. 63
Epithelial Hyperplasia	p. 65
Rare Benign Disorders of the Breast	p. 67
Fibromatosis	p. 69
Sclerosing Lymphocytic Lobulitis/Diabetic Mastopathy	p. 70
Granulomatous Lesions of the Breast	p. 71
Mondor Disease	p. 73
Gynecomastia	p. 73
Risk Factors, Screening, and Prevention	p. 78
Risk Factors	p. 78
Screening	p. 84
Prevention	p. 85
Conclusions	p. 87
Pathology, Prognosis and Staging of Breast Cancer	p. 88
Pathology	p. 88
Atypical Hyperplasia	p. 88
Carcinoma In Situ	p. 88
Invasive Mammary Carcinoma	p. 89
Special Types of Breast Carcinomas	p. 90
Inflammatory Carcinoma	p. 93
Sarcomas and Lymphomas of the Breast	p. 93
Metastases to the Breast	p. 95
Male Breast Cancer	p. 95
Pathologic Examination of Breast Specimens	p. 95
Staging of Breast Cancer	p. 96
Extent of Disease	p. 97
Prognosis	p. 98
Breast Imaging	p. 99
Introduction	p. 99
Screening Mammography	p. 99
Diagnostic Mammography	p. 102
Screening with Other Imaging Modalities: Early Investigations	p. 103
The Mammogram Report: The Breast Imaging Reporting and Data System (BI-RADS) Lexicon	p. 104
Needle Localization	p. 109
Image-Guided Percutaneous Breast Biopsy	p. 110
Stereotactic Biopsy	p. 110
Summary	p. 113
Breast Cancer Treatment--Surgery	p. 117
Surgery for Invasive Breast Cancer	p. 117
Surgery for Pure DCIS	p. 121
Breast Reconstruction	p. 122
Axillary Surgery	p. 122
Surgery for Locally Advanced Breast Cancer	p. 124
Surgery for Recurrent Disease	p. 124
Surgical Approach	p. 126
Adjuvant Therapy of Breast Cancer	p. 137
Introduction	p. 137
Tamoxifen for Adjuvant Therapy	p. 138
Tamoxifen and the Risk of Contralateral Breast Cancer: Role as a Chemopreventive Agent	p. 141
Ovarian Ablation	p. 142
Chemotherapy in the Adjuvant Setting	p. 142
Beyond CMF: The Use of Doxorubicin and Taxane-Containing Regimens	p. 147
Role of High Dose Chemotherapy for High-Risk Breast Cancer	p. 149
Assessment of Risk and Choice of Adjuvant Therapy	p. 150
New Approaches for Adjuvant Therapy	p. 151
Treatment--Radiation	p. 153
Introduction	p. 153
Radiation Therapy for Early Breast Cancer	p. 153
Side Effects	p. 156
Radiation Therapy for Axillary Control	p. 158
Postmastectomy Radiation Therapy	p. 158
Radiation Therapy for Locally Advanced Breast Cancer	p. 160
Local Recurrence	p. 161
Palliation	p. 162
Conclusion	p. 163
Sentinel Lymph Node Mapping	p. 166
Introduction	p. 166
Morbidity of Axillary Dissection	p. 166
The Sentinel Lymph Node	p. 167
Results of Clinical Studies in Breast Cancer	p. 169
Axillary Staging and the Sentinel Node	p. 172
Internal Mammary Lymph Nodes	p. 174
Clinical Issues in Lymph Node Mapping	p. 175
Training Issues	p. 175
Conclusions	p. 176
Hereditary Breast Cancer	p. 181
Familial Breast Cancer	p. 181
Hereditary Breast Cancer and the Identification of BRCA1 and BRCA2	p. 181
Functions of BRCA1 and BRCA2 and the Mechanism of Hereditary Susceptibility	p. 183
Summary	p. 192
Index	p. 195
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