Breast Lumps: A Guide to Diseases of the Breast

by Smith, Jane

• ISBN13: 9781903378083
• ISBN10: 1903378087
• Edition: 1st
• Format: Paperback
• Copyright: 2004-02-01
• Publisher: TFM PUBLISHING

Summary

This new edition of Breast Lumps (which was first published in 1994) provides updated information on both benign breast conditions and breast cancer. The book has been substantially revised, particularly with regard to the changes that have occurred in the treatment of breast cancer during the last few years. It discusses all aspects of the management of breast lumps and the ways in which this differs in the UK and USA.

Author Biography

Jane Smith, BSc (Hons) Medical Writer and Editor, Bristol David J. Leaper, MD, ChM, FRCS, FACS Professor of Surgery, Professorial Unit of Surgery, University Hospital of North Tees, University of Newcastle upon Tyne, Stockton on Tees

Table of Contents

Preface to first edition	p. vii
Preface to second edition	p. viii
Acknowledgements	p. ix
Introduction	p. 1
Structure and function of the breast	p. 2
Development of the breast	p. 4
A poorly fitting bra can cause breast pain	p. 5
How to measure yourself for a bra	p. 6
Breast examination	p. 7
Signs of disease	p. 7
Breast awareness	p. 8
Breast self-examination	p. 8
Diagnostic investigations	p. 12
Clinic visits	p. 12
Investigations	p. 14
Grading	p. 21
The breast care nurse	p. 21
Asking questions	p. 21
Being told you have breast cancer	p. 22
Breast screening	p. 23
Invitation to attend for breast screening	p. 23
First appointment	p. 24
Receivingthe results	p. 24
Second appointment	p. 25
Benign breast disorders	p. 27
Breast pain	p. 27
Breast lumps	p. 28
Dysplasia	p. 29
Fibroadenosis	p. 29
Cysts	p. 31
Fibroadenoma	p. 32
Nipple discharge	p. 33
Other breast conditions	p. 37
Breast cancer	p. 40
Risk factors	p. 40
Types of breast cancer	p. 44
How breast cancer spreads	p. 49
Differentiation of carcinomas	p. 49
Staging	p. 50
Prognosis	p. 51
Treatment	p. 52
Choosing a treatment	p. 56
Going in to hospital for an operation	p. 57
Length of stay	p. 57
Day-case surgery	p. 57
What to take into hospital	p. 58
Hospital staff	p. 60
Before the operation	p. 61
Anti-embolism stockings	p. 63
Heparin injections	p. 63
Ward visits	p. 64
Consent forms	p. 65
'Nil by mouth'	p. 66
Shaving	p. 66
Smoking	p. 67
Waiting	p. 67
Leaving the ward for your operation	p. 67
Anaesthesia	p. 68
The pre-anaesthetic visit	p. 68
General anaesthesia	p. 69
Local anaesthesia	p. 70
Other medication	p. 70
Before your operation	p. 70
Anaesthesia	p. 72
After your operation	p. 72
Back on the ward	p. 72
Side-effects of the anaesthetic	p. 73
Pain relief	p. 73
Surgery for breast lumps	p. 74
Surgery for benign diseases	p. 74
Surgery for breast cancer	p. 78
After your operation	p. 82
In hospital	p. 82
Going home	p. 89
At home	p. 91
Telling children about cancer	p. 92
Post-operative complications	p. 93
General complications	p. 93
Local complications	p. 94
Other complications	p. 100
Hormone therapy, radiotherapy & chemotherapy	p. 101
Adjuvant therapy	p. 101
Hormone therapy	p. 101
Clinical trials	p. 102
Radiotherapy	p. 104
Chemotherapy	p. 107
The ovaries	p. 108
Advanced disease	p. 108
Palliative therapy	p. 109
Prostheses	p. 110
Temporary prostheses	p. 110
Permanent prostheses	p. 110
Costs of prostheses	p. 112
Replacement prostheses	p. 112
Bras	p. 113
Breast reconstruction	p. 114
Prosthetic reconstruction	p. 114
Tissue expansion	p. 115
Side-effects of prosthetic reconstruction	p. 116
Pedicled skin and muscle flaps	p. 117
Microvascular tissue transfer	p. 120
Nipple reconstruction	p. 120
Timing of breast reconstruction	p. 121
Surgery to the opposite breast	p. 121
Palliative care	p. 122
Hospices	p. 122
Macmillan nurses	p. 124
Other treatment centres	p. 124
Questions and answers	p. 125
Private care in the UK	p. 134
Private health insurance	p. 134
Fixed Price Care	p. 135
Arranging the operation	p. 136
Admission to hospital	p. 137
Preparing for your operation	p. 138
Discharge from hospital	p. 139
Adjuvant therapy	p. 139
Differences and similarities	p. 139
Summary	p. 140
Medical terms	p. 141
Useful organizations	p. 155
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