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Workup of breast problems Eliza Pile-Spellman M.D. 212 305-0519
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breast Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Estimated Breast cancer 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Impact of mammography ,[object Object],[object Object]
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stage DCIS or <5 mm 5 yr Survival % 98 10 yr survival % 95 Node neg 85 75 Node pos Mets 55 10 2
Risk Factors ,[object Object],[object Object],[object Object]
Risk factors ,[object Object],[object Object],[object Object],[object Object]
Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
? Risk factors ,[object Object],[object Object]
No assoc increased risk ,[object Object],[object Object],[object Object],[object Object],[object Object]
Protective effect ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Workup of breast problems ,[object Object]
Screening ,[object Object],[object Object],[object Object]
Asymptomatic women (screening) ,[object Object],[object Object]
< 40 and no family history ,[object Object]
< 40 and mother or sister with premenopausal breast cancer ,[object Object]
[object Object]
Reasons for noncompliance ,[object Object],[object Object],[object Object],[object Object]
Screening Mammograms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of abnl mammo ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
double reading ,[object Object],[object Object],[object Object],[object Object]
mammography report ,[object Object],[object Object],[object Object],[object Object],[object Object]
Breast density
Birads classification  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
mammography report ,[object Object],[object Object],[object Object],[object Object],[object Object]
Birads Classification  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Grade 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grade 3 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management of grade 4 and 5 ,[object Object],[object Object],[object Object],[object Object]
Core bx indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Symptomatic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
Diagnostic Mammogram ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Requisition name and phone # ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screening ultrasound ,[object Object],[object Object]
ACRIN 6666 ultrasound trial ,[object Object],[object Object],[object Object]
Comparison screening ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Screening MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Breast MRI Indications ,[object Object],[object Object],[object Object]
MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Palpable masses ,[object Object]
Right breast palp area (subareolar
Rt breast palp
Left breast comparison
Breast development ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Causes of palp masses in children ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
19 yo with palp mass ,[object Object]
palp
30 yr old with palpable mass
 
 
 
41 yo palp mass ,[object Object]
 
 
 
 
38 yo palp mass ,[object Object]
 
 
 
 
 
palpable mass
 
 
 
PALP SEBACEOUS CYST
 
Palpable mass Age < 30 years ,[object Object],[object Object],[object Object]
Palp mass Age 30 or > ,[object Object],[object Object]
PALP MASS <30 yrs 30 or> Mammogram + US US Cyst stop Solid –core bx
nipple discharge ,[object Object],[object Object],[object Object]
Nipple Discharge ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nipple Discharge ,[object Object],[object Object],[object Object]
Galactorrhoea- if not pregnant or postpartem, prolactin-secreting pituitary tumor
Dark green discharge from multiple  ducts
Solitary Papilloma ,[object Object],[object Object],[object Object],[object Object]
 
 
Solitary Papilloma ,[object Object],[object Object],[object Object]
65 yr old with bloody nipple discharge
 
 
 
 
 
35 yo pre renal transpant
 
 
 
 
w/u bloody nipple discharge ,[object Object],[object Object],[object Object],[object Object],[object Object]
22 yr old with diffuse breast pain for 3 weeks
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
 
 
Multifocal disease not evident on mammogram or ultrasound
Same breast with multicentric disease not evident on mammogram or ultrasound
 
 
 
 
 
 

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Editor's Notes

  1. Cancer mf3719328
  2. Re 5544703
  3. Re 5544703