This document discusses the anatomy, blood supply, lymphatic drainage, and imaging of benign breast diseases. It covers the secretory apparatus and arrangement of the breast, as well as the axillary tail of Spence. Mammography findings that can indicate malignancy are described, such as microcalcifications, irregular masses, spiculations and ill-defined margins. The Breast Imaging Reporting and Data System (BIRADS) is introduced for evaluating mammography results. Common benign breast conditions like aberration of normal development and involution (ANDI) are also outlined.

1. BENIGN BREAST DISEASES
DR. MD. SHERAJUL ISLAM
MBBS, FCPS, FACS

2. ANATOMY
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4. ANATOMY
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5. SECRETORY APPARATUS OF BREAST
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6. SECRETORY APPARATUS OF BREAST
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9. ARRANGEMENT OF BREAST
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10. AXILLARY TAIL OF SPENCE
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12. BLOOD SUPPLY TO THE BREAST
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14. VENOUS DRAINAGE OF BREAST
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16. LYMPHATIC DRAINAGE OF THE BREAST
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17. LYMPHATIC DRAINAGE OF THE BREAST

19. LYMPHATIC DRAINAGE OF THE BREAST
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20. LEVELS OF THE AXILLARY NODES
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22. SIGNIFICANCE OF LEVEL IN CARCINOMA OF
BREAST
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23. LIGAMENT OF COOPER
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25. NERVES RELATED TO BREAST
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27. POLANDS SYNDROME
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29. MAMMOGRAPHY
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30. MAMMOGRAPHY
FINDINGS
• MICROCALCIFICATIONS SIGNIFY MALIGNANCY
• SOFT TISSUE SHADOW MAY BE SMOOTH, ROUND/OVAL AND REGULAR
• IN BENIGN CONDITIONS OR IRREGULAR IN CARCINOMAS. LOBULATED MASS IS ALSO SUGGESTIVE OF
CARCINOMA
• SIZE AND LOCATION OF MASS LESION
• SPICULATIONS, DUCT DISTORTION—FEATURES OF MALIGNANCY
• MARGIN MAY BE CIRCUMSCRIBED (BENIGN LESION), MICROLOBULATED,OBSCURE, ILL-DEFINED, SPICULATED
OR STELLATE

31. BREAST IMAGING REPORTING AND DATA
SYSTEM (BIRADS)
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32. INDICATIONS OF MAMMOGRAPHY

33. INDICATIONS OF MAMMOGRAPHY
5% OF BREAST CANCERS ARE MISSED IN TOTAL MAMMOGRAHIC SCREENING

35. ABERRATION OF NORMAL DEVELOPMENT
AND INVOLUTION (ANDI) OF THE BREAST
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