Hughes, Mansel and Webster's benign disorders and diseases of the breast

By far the majority of women presenting with a breast complaint will be diagnosed as having a benign rather than malignant condition. Despite this, clinical and research interest has always favoured breast cancer, and few publications have attempted to cover benign breast disorders as an independent entity focusing instead on benign breast disease in relation to breast cancer and none provide the complete and pragmatic coverage found in this text. Hughes, Mansel and Webster's Benign Disorders and Diseases of the Breast 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.The third edition of this critically acclaimed book provides practical and detailed management guidelines. Relevant investigations are discussed and clear advice is given for the most effective treatment strategies ineach condition, including dealing with treatment failures and recurring problems. The underlying pathology and physiology are also discussed from the clinician's viewpoint to help understand clinical presentations and response to treatment. INDICE: ForewordPreface AcknowledgementsiDedicationChapter 1 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 Chapter 2 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 Chapter 3 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 epitheliumChanges during pregnancy and lactation Postmenopausal involution References Chapter 4 Aberrations of normal development and involution (ANDI): a conceptof 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 basedon pathogenesis Reasons for including various benign breast disorders as partof 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 Chapter 5 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 ofrecurrent 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 Chapter 6 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 Chapter 7 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 Chapter 8 Breast pain and nodularityKey points and new developments IntroductionHistorical note Frequency of breast pain Mastalgia in breast cancer Classification Aetiology of mastalgia and nodularity Management of patients with mastalgia Natural history of mastalgia Planof management for patients with mastalgia Mastalgia in the postmenopausal patient Patients with refractory mastalgia The relationship of cyclical mastalgiato premenstrual stress Conclusion References Chapter 9 Sclerosing adenosis, radial scar and complex sclerosing lesions Key points and new developments Introduction Sclerosing adenosis Radial scar and complex sclerosing lesions References Chapter 10 Cysts of the breast Key points and new developments Introduction Pathology Incidence Pathogenesis and cyst types Aetiology Clinical featuresAge Natural history Investigation Differential diagnosis management Galactocele Papillary tumours associated with macrocystsReferences Chapter 11 The duct ectasia/periductal mastitis complex Key points and new developments Introduction Historical survey Pathology and pathogenesis of duct ectasia/periductal mastitis The development of the duct ectasia/periductal mastitis complex The clinical spectrum of duct ectasia/periductal mastitis Breast masses associated with periductal mastitis Frequency of duct ectasia/periductal mastitis Radiology Management The consequences and results of operations for duct actasia Recurrent infection after surgery for periductal mastitis References Chapter 12 Disorders of the nipple and areola Key points and new developments Introduction Nipple inversion and retraction Cracked nipples Nipple crusting Erosive adenomatosis Syringomatous adenoma Nodular mucinosis Simple fibroepithelial polyp Eczema Leiomyoma Traumatic lesions Nipple pain Nipple disease and HIV infection Montgomery's glands Sebaceous cyst of the nipple Viral infections Hidradenitis suppurativa of the areola References Chapter 13 Nipple discharge Key points and new developments IntroductionDefinition Incidence Character and significance of discharge Pathology underlying nipple discharge Assessment Management References Chapter 14 Infections of the breastKey points and new developments IntroductionLactational breast infection Subclinical mastitis Nonlactational breast abscess Infections in immunocompromised patientsIatrogenic abscess Specific infections of the breastInfections of associated structures References Chapter 15 Congenital and growth disorders Key points and new developments IntroductionDevelopmental anomalies Premature breast development Hypertrophic abnormalities of the breastExcessive postlactational involution Genetic abnormalities involving the breast Surgical treatment References Chapter 16 The male breast Keypoints and new developmentsDevelopment of the male breastGynaecomastia Other male breast disease References Chapter 17 Miscellaneous conditions Introduction Trauma Fat necrosis Paraffinoma and silicone reactions Lipoma Hamartoma (adenolipoma) Oedema of the breastThe post-irradiated breast Fibrous disease of the breast Fibromatosis (desmoid tumour) Nodular fasciitis Diabetic mastopathy Idiopathic granulomatous mastitis (non-specific granulomatous disease) Sarcoid Amyloid Blood vessels Atherosclerosis and aneurysm Mondor's disease InfarctionSkin-related conditions Hidradenitis suppurativa of the breastTumours of nerve origin Granular cell tumour (myoblastoma) Artefactual disease of the breast Foreign bodies Mammalithiasis Phantom breast syndrome Mammary mucocele-like lesion Breast tumour of pregnancy (lactating adenoma) Collagenous spherulosis ofthe breast Gynaecomastia-like lesions in womenReferences Chapter 18 Operations Introduction Tissue diagnosis in the clinic Removal of giant fibroadenoma and phyllodes tumour MicrodochectomyExcision of mammary duct fistulaMajor duct excision (Adair/Urban/Hadfield) Drainage of a lactational breast abscess Subcutaneous mastectomy in male patients Subcutaneous mastectomy or skin sparing mastectomy in women Operations for inverted nipplesReferences Chapter 19 Psychological aspects of benign breast disease Key points and new developments IntroductionPsychological problems resulting from presenting with breast problems Psychological abnormality as a cause of benign breast disease References Chapter 20 Risk assessment and management Summary Breast cancer: the diseaseThe breastcancer genes Conclusion References Index

• ISBN: 978-0-7020-2774-1
• Editorial: Saunders
• Encuadernacion: Rústica
• Páginas: 368
• Fecha Publicación: 02/02/2009
• Nº Volúmenes: 1
• Idioma: Inglés