Dr. Damjanovich László Dr. Fülöp Balázs

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Presentation transcript:

Dr. Damjanovich László Dr. Fülöp Balázs Breast diseases Dr. Damjanovich László Dr. Fülöp Balázs

ACCURACY OF INVESTIGATION IN DIAGNOSIS OF SYMPTOMATIC BREAST DISEASE

Causes of palpable breast lumps

Symptoms of benign breast disease Breast pain (mastalgia) Cyclical Primary non-cyclical Musculoskeletal Sclerosing adenosis Postoperative Cervical root pain Breast lumps Fibroadenoma Cyclical nodularity Cysts Galactocele Fat necrosis Lipoma Chronic abscess Normal structures (prominent rib, edge of previous breast biopsy, margin of breast tissue, etc.) Disorders of the nipple and periareolar region Discharge Retraction Sepsis Breast infection Lactational Non-lactational

Causes of gynecomastia

Incidence rates for 200-2004 and Fixed-interval Trends for 1995-2004 for the Top 10 cancers

Death rates for 2000-2004 and Fixed-interval Trends for 1995-2004 for the top 10 cancers

Breast cancer incidence 1983-87

Natural history of cancer

Progression of hyperplasia

Percentage of all deaths in women attributable to breast cancer

Lifetime risk of breast cancer Rate of inherited breast cancer

Phylososphy of management of breast cancer

Most frequent symptoms of breast cancer

Mammography

Mammography

Staging

Main risk factors

Pathological classification of breast cancer Incidence 8

Surgical treatment of early breast cancer

Surgical treatment of early breast cancer

Survival in prospective randomized trials comparing surgery and radiation therapy with mastectomy

Prospective randomized trials comparing surgery with and without radiation therapy

Algorithm for selection of local therapy for breast cancer

Contraindications for BCT for invasive carcinoma

Morbidity of axillary dissection

Nodal status and survival

Emlőrák műtétek megoszlása radikalitás szerint (1991-2002)

Breast reconstruction after mastectomy

Breast reconstruction after mastectomy

Breast reconstruction after mastectomy

Risk factors other than nodal status for survival

Site of metastasis of breast cancer -autopsy material

Survival of patients with breast cancer

Giant fibroadenoma

Male breast cancer

Inflammatory breast cancer Before chemotherapy After chemotherapy

Duplex carcinoma

Duplex tumor, mastectomy

Infiltrating ductal carcinoma

T4: Infiltration and retraction of mamilla, orange sign

Paget infiltration of nipple