Breast Problems08

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]

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]

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]

Birads classification ,[object Object],[object Object],[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

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]

19 yo with palp mass ,[object Object]

41 yo palp mass ,[object Object]

38 yo palp mass ,[object Object]

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

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

Multifocal disease not evident on mammogram or ultrasound

Same breast with multicentric disease not evident on mammogram or ultrasound

Breast Problems08

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Editor's Notes