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BREAST SYMPTOMS
LUMP
PAIN
DISCHARGE
SKIN CHANGES
LUMP IN THE BREAST
CANCER
FIBROADENOMA
FIBROADENOSIS
MASTITES
MULTIPLE INTRADUCTAL
PAPPILOMATOSIS
RARE TUMORS
FIBRO ADENOMA
55% REMAIN SAME
35% RESOLVE
PALPATION IS DIAGNOSTIC
SLIPPERY WELL DEFINED EDGES, ROUND OR OVAL , 1 ~3 cms.
SIZE , SMOOTH AND FIRM SURFACE. . AXILLA FREE .
MAYBE MULTIPLE
D.D.
JUVENILE PAPILAMATOSIS
CORE BIOPSY
NO INTERFERANCE
BIOPSY CLEAR
SURGICAL INTERVENTION
AGE GREATER THAN 30
SIZE GREATER THAN 3cms
BIOPSY NON CONFIRMATORY
GROWTH DISTORTING THE BREAST
PATIENT’S DESIRE
SURGICAL TREATMENT
ENUCLEATION THROUGH A
COSMETIC INCISION
ATYPICAL FIBROADENOMA’S
GIANT FIBROADENOMA
GREATER THAN 5 cms.
M AMMOGRAM, F.N.A.C
Proceed surgery
ATYPICAL FIBROADENOMA’S
TUBULAR ADENOMA
SOFT
Tripple assessment
phylloides tumor
PHYLLOIDES TUMOR
Connective tissue elements are
more cellular
Sometimes atypical
PHYLLOIDES SARCOMA
PHYLLOIDES TUMOR
TEND TO GROW FAST
MALIGNANT, Mastectomy
HAMARTOMA
Incidental from mammogram/ rarely
clinical resembling fibroadenoma
SOFT , WOMEN..>35
Mammography diagnostic,
Trucut confirmatory
ENUCLEATION
FIBROADENOSIS
FIBROCYSTIC DISCEASE
MAMMOGRAM
CANCER / F.C.C.
ATYPICAL CELLS
PROLIFERATIVE LESION
SIMPLE FOLLOW UP
MAMMOGRAM F.C.C. CYST
ULTRASOUND
SIMPLE CYST
COMPLEX CYST
CYST WITH PAPPILLARY
PROJECTIONS
SIMPLE CYST
SEPTETE CAVITY
NO POSTERIOR SHADOWING
COMPLEX CYST
ASPIRATE
CLEAR FLUID
NO RESIDUAL LUMP
RESIDUAL LUMP
ULTRA SOUND GUIDED F. N. A. C. OR
TRUCUT BIOPSY OF RESIDUAL
LUMP
BIOPSY
MALIGNANCY
CELLUAR ATYPIA
PROLIFERATIVE LESION
LUMP
PAIN
SKIN CHANGE
+/_ FEVER
CLASSIFICATION MASTITES
LACTATIONAL MESTITES
&
NON LACTATIONAL MASTITES
LACTATIONAL MASTITES
RED
WARM
TEMDER
VAGUE LUMP
TENDER AXILLARY ADENITES
SYSTEMIC SIGNS OF INFLAMMATION
?MASTITES ??ABSCESS
OEDEME / FLUCTUATION
IF IN DOUBT ULTRASOUND
TREATMENT OF LACTATIONAL
MASTITES
ENSURE FLOW OF MILK
ANTIBIOTICS
SUPPORTIVE MESURES
COAMOXYCLAV , ERYTHROMYCIN
CHLORAMPHENICOL,CIPROFLOXACIN,TETRACYCLINE
TREATMENT OF LACTATIONAL
ABSCESS
EVACUATION OR PUS
U.S. GUIDED ASPIRATION
SURGICAL DRAINAGE
ANTIBIOTICS & SUPPORTIVE MESURES
+/_ CABERGOLIN
NON LACTATIONAL MASTITES
Beware of cancer
T. D. E.
NON LACTATNG MASTITES
PERIPHERAL POSITION
AGE
ABOVE 40 BELOW 40
AB0VE 40
MAYBE DUE TO
BACTERIA, FUNGI OR AUTOIMMUNE
DISCEASE
GRANULOMATOUS MASTITES
STEROIES, METHOTREXATE
SURGERY TROUBLESOME
MULTIPLE INTRADUCTAL
PAPILLOMATOSIS
ASYMPTOMATIC LUMP
TREATMENT IS EXCISION
JUVENILE PAPILLOMATOSIS
JUVENILE PAPILOMATOSIS
ASYMPTOMATIC LUMP IN TEENS
CORE BIOPSY
PSUEDOLIPOMA
U.S.
EXCISION BIOPSY
FROM FAT CELLS
FAT NECROSIS
MAMMOGRAM , INCONCLUSIVE
CORE BIOPSY , DEFINITIVE
CHEST WALL
LUNG
HEART
ABDOMEN
MASTALGIA
EXESS OESTROGEN
EXESS PROLACTIN
INSUFFICIENT PROGESTERON
ALTERATIONS IN FATTY ACID
MASTALGIA
REASSUARANCE
80% SACTISFIED
MANAGEMENT
LIFESTYLE MODIFICATION
DIET MODIFICATION
phytoestrogens
MANAGEMENT
TAMOXIFEN
DANAZOL
BROMOCRIPTINE
4 HYDROXY TAMOXIFEN OINTMENT
MANAGEMENT
SURGERY AS A LAST RESORT. MASTECTOMY