TAILIEUCHUNG - Benign disease of the breast

A variety of conditions may occur in the breast. Starting from congenital abnormalities, conditions due to hormonal changes throughout reproductive life and physiological differences due to pregnancy and lactation are known. | 25 Benign Disease of the Breast Eva J. Kantelhardt INTRODUCTION A variety of conditions may occur in the breast. Starting from congenital abnormalities conditions due to hormonal changes throughout reproductive life and physiological differences due to pregnancy and lactation are known. There may also be infections and proliferative diseases. Women with breast problems will present at all ages. The most important issue is to bear in mind that a patient complaining of breast symptoms can have breast cancer as well as a benign condition. When breast cancer is not treated early median survival will be around 3 years. With early diagnosis and treatment the woman has a good chance of being cured. This chapter deals with benign breast disease Chapter 30 describes breast cancer diagnosis and treatment in detail see Table 1 for differential diagnosis . It is important to understand that breast cancer can mimic even benign disease especially benign solid tumors. Both benign and malignant breast disorders can present with a palpable mass skin dimpling thickening or erythema pain nipple discharge and inversion or distortion or an abnormal screening mammogram with no clinical findings1. Available methods in low-resource settings for investigating breast problems include mainly clinical breast examination and ultrasound. Please keep in mind that clinical examination and imaging can only give additional information on whether a breast disease is malignant or not. The definite diagnosis is made through histology. Due to accessibility and anatomy of the breast invasive procedures such as fine-needle aspiration core biopsy and excisional biopsy can be done easily to obtain cytology or preferably histology. It Table 1 Differential diagnosis of benign breast lesions Benign condition Key findings Fibroadenoma Firm tumor in the breast well-defined mobile breast mouse Fibrocystic changes Consolidated area rather diffuse Cyst On ultrasound black round area with defined margins Mastitis .

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