UNIVERSIDAD DE GUADALAJARA        CENTRO UNIVERSITARIO DE CIENCIAS DE LA SALUD                 BREAST                     ...
The normal breastANATOMY
A “teardrop” shapeThe asymmetry is commonVascular supply:  medial and central portion:            perforating branches fro...
HistologyBreast tissue  has two histologically distinct tissues: lobular  & ductal   The lobule-is the functional unit of ...
BENIGN BREAST DISORDERS
Fibrocystic disease• Refers to women with severely symptomatic  breast                          Radiographic• S&S• Mastody...
FibroadenomaIt is the most common breast common tumor in   adolescents and young womenPatients will have multiple fibroade...
CharacteristicsA painless, slow growing mass found on self-  breast examinationSeveral cm.Changes with mestrual cycleWell ...
TreatmentBased on probability of missing a primary breast  CA-30. observationRemoval if enlarges+30 FNASurgery indicated i...
Giant fibroadenomas                  + 5 cm
Radial scarRadial sclerosing lesionsIn MMG shows a stellate, irregular spiculated  mass lesionA tissue diagnosis is requir...
Fat necrosisInflamatory necrosis related to traumaMacrophages laden with fat lobules. Or foreign body giant cellsTreatment...
Periductal mastitisUncommon disease      dilated mammary ducts with inspissated  secretions and marked periductal inflamma...
Infectious mastitis80% are associated with breast-feedingThe most common pathogen is Staphylococcus  aureusNonlactating wo...
GalactocelesAre breast cysts that are filled with milkAlmost exclusively seen after breast-feeding and  represent silated ...
Mondor s diseaseTrombophlebitis of superficial veins of the breastThis affects the lower outer quadrant, presents as  a pa...
Intraductal papillomaMost common cause of bloody nipple dischargeLesions: small, nonpalpable, close to the nipple     Dx. ...
Nipple dischargeBloody: intraductal papilloma & breast caPurulent: subareolar infectionMilky white: galactorrheaGreen/yell...
Mastodynia2 typesCyclie mastodyniaContinuous mastodyniaTxNSAIDSChanges in life style
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
Benign breast disorders
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Benign breast disorders

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Benign breast disorders

  1. 1. UNIVERSIDAD DE GUADALAJARA CENTRO UNIVERSITARIO DE CIENCIAS DE LA SALUD BREAST Dr. Benjamín Robles Mariscal Dr. Héctor Manuel Virgen Ayala Clínicas QuirúrgicasBrenda de la Torre Aguayo209340718MCPA
  2. 2. The normal breastANATOMY
  3. 3. A “teardrop” shapeThe asymmetry is commonVascular supply: medial and central portion: perforating branches from the internal mammary artery laterally lateral thoracic fascial envelopeSuspensory ligaments of Cooper
  4. 4. HistologyBreast tissue has two histologically distinct tissues: lobular & ductal The lobule-is the functional unit of the breastAlveoli are terminal elongated tubular ductsAround 10-100 alveoli coalesce to form larger lobular ductal units
  5. 5. BENIGN BREAST DISORDERS
  6. 6. Fibrocystic disease• Refers to women with severely symptomatic breast Radiographic• S&S• Mastodynia Clusstered• Breast masses micricalcifications• Nipple discharge on MMG Treatment Reassurance
  7. 7. FibroadenomaIt is the most common breast common tumor in adolescents and young womenPatients will have multiple fibroadenomas in 10% -15% of cases
  8. 8. CharacteristicsA painless, slow growing mass found on self- breast examinationSeveral cm.Changes with mestrual cycleWell circumscribed DiagnosisFirm rubbery texture MMG popcorn calcification when degeneration Ultrasound evaluation
  9. 9. TreatmentBased on probability of missing a primary breast CA-30. observationRemoval if enlarges+30 FNASurgery indicated in changes
  10. 10. Giant fibroadenomas + 5 cm
  11. 11. Radial scarRadial sclerosing lesionsIn MMG shows a stellate, irregular spiculated mass lesionA tissue diagnosis is required to differentiate from cancer
  12. 12. Fat necrosisInflamatory necrosis related to traumaMacrophages laden with fat lobules. Or foreign body giant cellsTreatmentInvolves reassurance without excision
  13. 13. Periductal mastitisUncommon disease dilated mammary ducts with inspissated secretions and marked periductal inflammation S&S include noncyclicla mastodynia; nipple retraction; thick, white creamy nipple discharge; as sterile subareolar abscesses. History TreatmentDifficulty with breast-feeding Reassurance Surgical incision and drainage
  14. 14. Infectious mastitis80% are associated with breast-feedingThe most common pathogen is Staphylococcus aureusNonlactating women chronic infections (actinomycosis, tb, syphilis) autoimmune diseases (lupus erythematosus)Most infections begin as skin cellulitis may be treated with antibiotics safe for feeding the infant
  15. 15. GalactocelesAre breast cysts that are filled with milkAlmost exclusively seen after breast-feeding and represent silated obstructed breast ductsTreatmentRanges from simple aspiration to surgical incision and drainage
  16. 16. Mondor s diseaseTrombophlebitis of superficial veins of the breastThis affects the lower outer quadrant, presents as a pakoable, cord-like mass, burning pain Treatment NSAIDs
  17. 17. Intraductal papillomaMost common cause of bloody nipple dischargeLesions: small, nonpalpable, close to the nipple Dx. Ductography Tx. Subareolar excision
  18. 18. Nipple dischargeBloody: intraductal papilloma & breast caPurulent: subareolar infectionMilky white: galactorrheaGreen/yellow or brown: fibrocystic disease
  19. 19. Mastodynia2 typesCyclie mastodyniaContinuous mastodyniaTxNSAIDSChanges in life style

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