Hughes, Mansel & Webster's Benign Disorders and Diseases of the Breast

by Mansel, R.E.

• ISBN13: 9780702027741
• ISBN10: 070202774X
• Edition: 3rd
• Format: Hardcover
• Copyright: 2009-01-01
• Publisher: SAUNDERS W B CO

Summary

The latest edition of this modern classic represents the distillation of over 35 years of clinical experience and research in the Cardiff Clinic and is unique in its depth of coverage of the entire spectrum of benign breast complaints. It provides practical and detailed management guidelines and integrates pathology throughout. Relevant investigations are discussed and clear advice is given for the most effective treatment strategies in each condition, including dealing with treatment failures and recurring problems. Includes a comprehensive review of management options of all benign breast conditions, both common and rare to give you up-to-date diagnosis and treatment options on all benign conditions. Incorporates lavish, full-color illustrations, including pathological appearance and schematic diagrams for a clear visual guide to the conditions discussed. Describes operative surgical techniques step by step to help you achieve optimal technical results. Includes a brand new chapter on risk management and evaluation to help you make the best choice for treatment, particularly with high-risk patients. Presents results of important clinical trials in order to present the latest evidence in the field. Integrates pathology throughout for a more comprehensive review of each condition and to help you assess the implications of the pathologist's report. Reorganizes the contents throughout to better reflect the information you need. Uses boxed and highlighted text to make finding what you need quick and easy. Includes a bonus DVD with video clips of experts performing key procedures like duct excision and different methods of biopsy to help you enhance your technique.

Table of Contents

Foreword

Preface

Acknowledgements

Dedication

Problems of concept and nomenclature of benign disorders of the breast

Key points and new developments

The source of the problem History

The present and the future References

History of benign breast disease

Introduction Sir Astley Paston Cooper, Bt. FRS DCL GCH. 1768-1841

Alfred Velpeau. 1785-1867

John Birkett FRCS Fellow of the Linnean Society. 1815-1904

George Lenthal Cheatle. 1865-1951

Joseph Colt Bloodgood. 1867-1935

Charles F. Geschickter. 1901-?

An analysis of the contributions of these six men

References

Breast anatomy and physiology

Key points and new developments

Development Changes at puberty

Adult anatomy

Microscopic anatomy

Biochemical control of breast epithelium

Cyclical changes in breast epithelium

Changes during pregnancy and lactation

Postmenopausal involution

References

Aberrations of normal development and involution (ANDI): a concept of benign breast disorders based on pathogenesis Key points and new developments

Introduction

Recognition of the normality of much benign breast 'disease'

Problems with the conventional view of benign breast disease

The physiological processes underlying the ANDI concept

A framework based on pathogenesis

Reasons for including various benign breast disorders as part of ANDI

An extension of the concept of ANDI to include most benign breast disorders?

Implications for the management of benign breast disorders

Aberration to disease?

Recent developments having a bearing on the ANDI concept

References

The approach to diagnosis and assessment of breast lumps Key points and new developments Part 1

The differential diagnosis and clinical assessment of breast lumps

Clinical assessment of a breast lump

Features of individual lesions

Follow-up after assessment and/or benign breast biopsy

Management of recurrent lumps following biopsy

Breast masses related to different life periods Part 2

Triple assessment and organization of the breast clinic

Fine needle aspiration cytology

Ultrasound in triple assessment Wide-bore needle biopsy

Mammotome or vacuum-assisted biopsy

Organization of clinics Medico-legal issues

References

Imaging of the breast Key points and new developments

Introduction

Breast density

Mammography

Breast ultrasound

Breast magnetic resonance imaging

Biopsy techniques

Breast localization techniques

References

Fibroadenoma and related tumours Key points and new developments

Terminology Fibroadenoma simplex

Cancer and fibroadenoma

Multiple fibroadenomas

Giant fibroadenoma

Phyllodes tumour and phyllodes sarcoma (cystosarcoma phyllodes)

Pseudoangiomatous hyperplasia

References

Breast pain and nodularity Key points and new developments

Introduction

Historical note

Frequency of breast pain

Mastalgia in breast cancer

Classification Aetiology of mastalgia and nodularity

Management of patients with mastalgia

Natural history of mastalgia

Plan of management for patients with mastalgia

Mastalgia in the postmenopausal patient

Patients with refractory mastalgia

The relationship of cyclical mastalgia to premenstrual stress

Conclusion

References

Sclerosing adenosis, radial scar and complex sclerosing lesions Key points and new developments

Introduction

Sclerosing adenosis

Radial scar and complex sclerosing lesions

References

Cysts of the breast Key points and new developments

Introduction

Pathology

Incidence Pathogenesis and cyst types

Aetiology

Clinical features Age Natural h

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