Breast Diseases by Patrick I. Borgen

By Patrick I. Borgen

This ebook isn't really a singular, but when it was once, it might be the simplest novel of the twentieth century, American or in a different way. briefly, this is often the main remarkable publication that i've got ever learn in my whole existence, and i've led a protracted and whole lifestyles.

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It is not routine practice to analyze aspirated cyst fluid for its electrolyte content. 24 This results in duct dilatation and shortening. Duct ectasia should be regarded as an aberration of normal breast involution affecting older women. Symptoms Patients may present with cheesy nipple discharge that may arise from one or multiple ducts. There may be an associated lump representing a dilated duct. Slit-like nipple retraction may be present and is a late feature. 50 Breast Diseases Signs Pressure on the areola will demonstrate discharge that is usually cheesy and there may be a palpable dilated duct with associated nipple retraction.

Periductal Mastitis Periductal mastitis refers to the inflammatory process occurring around dilated ducts. The etiology and pathogenesis of periductal mastitis is debatable. One theory suggests that the process consists of initial duct dilatation Benign Breast Disease 51 followed by distention. This results in damage to the duct wall, thereby causing extravasation of lipid material, resulting in an inflammatory reaction. 25 Colonization by bacteria may also play a part in the pathogenesis of this condition.

3. Palpation of the breast in the supine position: ipsilateral arm of patient is raised over the head. Reprinted with permission from: Bland KI, Copeland EM. The Breast: Comprehensive Management of Benign and Malignant Diseases. 2nd ed. 1998; 617-618. B. Saunders Co. Diagnostic Evaluation Radiology Diagnostic Mammography The workup of a patient with a dominant mass should include a bilateral mammogram. In addition to providing valuable information about the characteristics of the mass, the use of mammogram in this situation affords an opportunity to screen the normal surrounding breast and the contralateral breast for nonpalpable mammographic abnormalities (densities or calcifications).

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