Download - BREAST LUMP
![Page 1: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/1.jpg)
BREAST LUMP
![Page 2: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/2.jpg)
BREAST LUMP
Abdul.Kader WEISS M.DCHIRURGIE GENERALE ET VISCERALE /CHIRURGIE COELIOSCOPIQUE
D.E.S , A.F.S ,A.F.S.A , DU / FRANCE
Reference Surgery at a Glance 2ed
Anatomy at a GlanceSchwartz's Principles of Surgery, Ninth Edition
![Page 3: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/3.jpg)
DEFINITION
![Page 4: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/4.jpg)
DEFINITION
ANY PALPABLE MASS IN THE BREAST
![Page 5: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/5.jpg)
ENLARGEMENT OF THE WHOLE BREAST CANOCCUR EITHER UNI- OR BILATERALLY
![Page 6: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/6.jpg)
BUT
![Page 7: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/7.jpg)
THIS IS NOT STRICTLY A BREAST LUMP
![Page 8: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/8.jpg)
ANATOMY
![Page 9: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/9.jpg)
SPECIALIZED SKIN GLANDS
![Page 10: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/10.jpg)
SPECIALIZED SKIN GLANDSCOMPRISING
![Page 11: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/11.jpg)
SPECIALIZED SKIN GLANDSCOMPRISING
FAT
![Page 12: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/12.jpg)
SPECIALIZED SKIN GLANDSCOMPRISING
FATGLANDULAR
![Page 13: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/13.jpg)
SPECIALIZED SKIN GLANDSCOMPRISING
FATGLANDULAR
AND CONNECTIVE TISSUE
![Page 14: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/14.jpg)
![Page 15: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/15.jpg)
![Page 16: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/16.jpg)
BLOOD SUPPLY
![Page 17: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/17.jpg)
![Page 18: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/18.jpg)
VENOUS DRAINAGE
![Page 19: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/19.jpg)
VENOUS DRAINAGECORRESPONDS TO THE ARTERIAL SUPPLY
![Page 20: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/20.jpg)
LYMPHATIC DRAINAGE
![Page 21: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/21.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
![Page 22: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/22.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS
![Page 23: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/23.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns
![Page 24: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/24.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.NsC - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.Ns
![Page 25: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/25.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.NsC - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.NsD - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE
AXILLA
![Page 26: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/26.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.NsC - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.NsD - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE
AXILLA E - THE SUBCLAVICULAR GROUP (APICAL ), 6-12 L.Ns
![Page 27: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/27.jpg)
THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS
A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.NsC - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.NsD - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE
AXILLA E - THE SUBCLAVICULAR GROUP (APICAL ), 6-12 L.Ns
F - THE INTERPECTORAL GROUP (ROTTER'S NODES), 1-4 L.Ns
![Page 28: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/28.jpg)
![Page 29: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/29.jpg)
LYMPHATIC PATHWAYS OF THE BREAST
![Page 30: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/30.jpg)
LYMPHATIC PATHWAYS OF THE BREAST
![Page 31: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/31.jpg)
LYMPHATIC PATHWAYS OF THE BREAST
LEFT BREAST
![Page 32: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/32.jpg)
LYMPHATIC PATHWAYS OF THE BREAST
LEFT BREAST
ARROWS INDICATE THE DIRECTION OF LYMPH FLOW
![Page 33: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/33.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
![Page 34: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/34.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
![Page 35: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/35.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
Lymph nodes located lateral to or below the lower border of the pectoralis minor
muscle are referred to as LEVEL I LYMPH NODES
which include the axillary vein, external mammary, and scapular groups.
![Page 36: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/36.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
Lymph nodes located superficial or deep to the pectoralis minor muscle are
referred to as LEVEL II LYMPH NODES
which include the central and interpectoral groups.
![Page 37: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/37.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
Lymph nodes located medial to or above the upper border of the pectoralis minor
muscle are referred to as LEVEL III LYMPH NODES
which consist of the subclavicular group
![Page 38: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/38.jpg)
THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE
![Page 39: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/39.jpg)
TOPOGRAPHY
![Page 40: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/40.jpg)
TOPOGRAPHY
![Page 41: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/41.jpg)
BREAST LUMP
![Page 42: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/42.jpg)
BREAST LUMP
KEY POINTS
![Page 43: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/43.jpg)
BREAST LUMP
KEY POINTS• The commonest breast lumps occurring under the age of 35
years are fibroadenomas and fibrocystic disease.
![Page 44: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/44.jpg)
BREAST LUMP
KEY POINTS• The commonest breast lumps occurring under the age of 35
years are fibroadenomas and fibrocystic disease.• The commonest breast lumps occurring over the age of 50
years are carcinomas and cysts.
![Page 45: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/45.jpg)
BREAST LUMP
KEY POINTS• The commonest breast lumps occurring under the age of 35
years are fibroadenomas and fibrocystic disease.• The commonest breast lumps occurring over the age of 50
years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than
tumours.
![Page 46: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/46.jpg)
BREAST LUMP
KEY POINTS• The commonest breast lumps occurring under the age of 35
years are fibroadenomas and fibrocystic disease.• The commonest breast lumps occurring over the age of 50
years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than
tumours.• Skin/chest wall tethering is more characteristic of tumours
than benign disease.
![Page 47: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/47.jpg)
BREAST LUMP
KEY POINTS• The commonest breast lumps occurring under the age of 35
years are fibroadenomas and fibrocystic disease.• The commonest breast lumps occurring over the age of 50
years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than
tumours.• Skin/chest wall tethering is more characteristic of tumours
than benign disease.• Multiple lesions are usually benign (cysts or fibrocystic
disease).
![Page 48: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/48.jpg)
![Page 49: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/49.jpg)
![Page 50: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/50.jpg)
![Page 51: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/51.jpg)
![Page 52: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/52.jpg)
![Page 53: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/53.jpg)
![Page 54: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/54.jpg)
![Page 55: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/55.jpg)
![Page 56: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/56.jpg)
![Page 57: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/57.jpg)
![Page 58: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/58.jpg)
![Page 59: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/59.jpg)
![Page 60: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/60.jpg)
![Page 61: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/61.jpg)
![Page 62: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/62.jpg)
![Page 63: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/63.jpg)
![Page 64: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/64.jpg)
![Page 65: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/65.jpg)
![Page 66: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/66.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 67: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/67.jpg)
DIFFERENTIAL DIAGNOSIS
![Page 68: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/68.jpg)
DIFFERENTIAL DIAGNOSIS
WHOLE
![Page 69: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/69.jpg)
DIFFERENTIAL DIAGNOSIS
WHOLE LOCALIZED
![Page 70: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/70.jpg)
DIFFERENTIAL DIAGNOSIS
WHOLE LOCALIZED
BEHIND
![Page 71: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/71.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
![Page 72: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/72.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCY
![Page 73: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/73.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATION
![Page 74: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/74.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATIONIDIOPATHIC HYPERTROPHY
![Page 75: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/75.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATIONIDIOPATHIC HYPERTROPHY
DRUG INDUCED
![Page 76: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/76.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATIONIDIOPATHIC HYPERTROPHY
DRUG INDUCED (E.G. STILBOESTROL, CIMETIDINE)
![Page 77: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/77.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATIONIDIOPATHIC HYPERTROPHY
DRUG INDUCED (E.G. STILBOESTROL, CIMETIDINE)
ENLARGEMENT IN THE N.B
![Page 78: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/78.jpg)
SWELLING OF THE WHOLE BREASTBILATERAL UNILATERAL
PREGNANCYLACTATIONIDIOPATHIC HYPERTROPHY
DRUG INDUCED (E.G. STILBOESTROL, CIMETIDINE)
ENLARGEMENT IN THE N.B
PUBERTY
![Page 79: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/79.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS
![Page 80: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/80.jpg)
LOCALIZED SWELLINGS IN THE BREAST
![Page 81: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/81.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset
![Page 82: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/82.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
![Page 83: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/83.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS
![Page 84: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/84.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.
![Page 85: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/85.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
![Page 86: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/86.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS
![Page 87: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/87.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
![Page 88: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/88.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.
![Page 89: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/89.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.
![Page 90: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/90.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.
![Page 91: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/91.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.• CYSTOSARCOMA PHYLLOIDES: wide surgical excision (10% are malignant).
![Page 92: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/92.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.• CYSTOSARCOMA PHYLLOIDES: wide surgical excision (10% are malignant).
MALIGNANT INCLUDE:
![Page 93: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/93.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.• CYSTOSARCOMA PHYLLOIDES: wide surgical excision (10% are malignant).
MALIGNANT INCLUDE:• CARCINOMA
![Page 94: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/94.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.• CYSTOSARCOMA PHYLLOIDES: wide surgical excision (10% are malignant).
MALIGNANT INCLUDE:• CARCINOMA
EARLY : ill defined, hard, irregular, skin tethering
![Page 95: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/95.jpg)
LOCALIZED SWELLINGS IN THE BREASTMASTITIS/BREAST ABSCESS• DURING LACTATION:RED, hot, tender lump, systemic upset• TUBERCULOUS ABSCESS: chronic, ‘cold’, recurrent, discharging sinus.
CYSTS• GALACTOCELE: commoner postpartum, tender but not inflamed, milky contents.• FIBROCYSTIC DISEASE: irregular, ill defined, often tender.
SOLID LUMPS BENIGN INCLUDE:
• FIBROADENOMA: discrete, firm, well defined, regular, highly mobile.• FAT NECROSIS: irregular, ill defined, hard, ?skin tethering.• LIPOMA: well defined, soft, non-tender, fairly mobile.• CYSTOSARCOMA PHYLLOIDES: wide surgical excision (10% are malignant).
MALIGNANT INCLUDE:• CARCINOMA
EARLY : ill defined, hard, irregular, skin tethering LATE : spreading fixity, ulceration, fungation, ‘peau d’orange’.
![Page 96: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/96.jpg)
SWELLINGS BEHIND THE BREAST
![Page 97: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/97.jpg)
SWELLINGS BEHIND THE BREAST
RIB DEFORMITIES
![Page 98: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/98.jpg)
SWELLINGS BEHIND THE BREAST
RIB DEFORMITIES CHONDROMA
![Page 99: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/99.jpg)
SWELLINGS BEHIND THE BREAST
RIB DEFORMITIES CHONDROMA
COSTOCHONDRITIS (TIETZE’S DISEASE)
![Page 100: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/100.jpg)
KEY INVESTIGATIONS
![Page 101: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/101.jpg)
KEY INVESTIGATIONS FNAC
![Page 102: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/102.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
![Page 103: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/103.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
![Page 104: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/104.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
ULTRASOUNDFibroadenoma, cysts, tumours (best for young women/ dense breasts)
![Page 105: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/105.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
ULTRASOUNDFibroadenoma, cysts, tumours (best for young women/ dense breasts)
MAMMOGRAPHY
![Page 106: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/106.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
ULTRASOUNDFibroadenoma, cysts, tumours (best for young women/ dense breasts)
MAMMOGRAPHYTumours, cysts, fibrocystic disease, fat necrosis.
![Page 107: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/107.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
ULTRASOUNDFibroadenoma, cysts, tumours (best for young women/ dense breasts)
MAMMOGRAPHYTumours, cysts, fibrocystic disease, fat necrosis.
BIOPSY (‘TRUCUT’/OPEN SURGICAL)
![Page 108: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/108.jpg)
KEY INVESTIGATIONS FNAC
Tumours, fibroadenoma, fibrocystic disease, fat necrosis,mastitis
ULTRASOUNDFibroadenoma, cysts, tumours (best for young women/ dense breasts)
MAMMOGRAPHYTumours, cysts, fibrocystic disease, fat necrosis.
BIOPSY (‘TRUCUT’/OPEN SURGICAL)Usually provides definitive histology (may be radiologically guided if lump is small or impalpable-detected by mammography as part of breast screening
programme
![Page 109: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/109.jpg)
EXAMINATION OF THE BREAST
![Page 110: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/110.jpg)
EXAMINATION OF THE BREAST
![Page 111: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/111.jpg)
A. Inspection of the breast with arms at sides.
EXAMINATION OF THE BREAST
![Page 112: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/112.jpg)
A. Inspection of the breast with arms at sides.B. Inspection of the breast with arms raised.
EXAMINATION OF THE BREAST
![Page 113: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/113.jpg)
A. Inspection of the breast with arms at sides.B. Inspection of the breast with arms raised. C. Palpation of the breast with the patient supine.
EXAMINATION OF THE BREAST
![Page 114: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/114.jpg)
A. Inspection of the breast with arms at sides.B. Inspection of the breast with arms raised. C. Palpation of the breast with the patient supine.D. Palpation of the axilla.
EXAMINATION OF THE BREAST
![Page 115: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/115.jpg)
DUCTOGRAM
![Page 116: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/116.jpg)
DUCTOGRAM
![Page 117: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/117.jpg)
BREAST CYSTECHOGRAPHY
![Page 118: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/118.jpg)
BREAST CYSTECHOGRAPHY
![Page 119: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/119.jpg)
MAMMOGRAPHY
![Page 120: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/120.jpg)
MAMMOGRAPHY
![Page 121: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/121.jpg)
THANK YOU
![Page 122: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/122.jpg)
THANK YOUAbdul.Kader WEISS M.D 2010
![Page 123: BREAST LUMP](https://reader037.vdocuments.mx/reader037/viewer/2022102808/56812b8d550346895d8fa9bc/html5/thumbnails/123.jpg)
THANK YOUAbdul.Kader WEISS M.D 2010