2/19/2012 دکتر مریم طباطبائیان. E ARLY DETECTION OF BREAST CANCER 2/19/2012 دکتر مریم طباطبائیان.

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Presentation transcript:

2/19/2012 دکتر مریم طباطبائیان

E ARLY DETECTION OF BREAST CANCER 2/19/2012 دکتر مریم طباطبائیان

SCREENING Normal population High risk population family history of breast and ovarian cancer contra lateral breast cancer previous radiation to chest wall nulliparous late pregnancy breast biopsy ( lobular carcinoma insitu or atypia) Gail model 2/19/2012 دکتر مریم طباطبائیان

SCREENING BSE CBE MAMMOGRAM Sonogam MRI 2/19/2012 دکتر مریم طباطبائیان

SYMPTOMS Mass Discharge Nipple or skin retraction Adenopathy Ulcer Exematoid skin disorder Assymetysation Inflammatory changes pain 2/19/2012 دکتر مریم طباطبائیان

2/19/2012 دکتر مریم طباطبائیان

2/19/2012 دکتر مریم طباطبائیان

B ENIGN LESIONS Fibroadenoma giant fibroadenom juvenile fibroadenoma fibroadenomatosis complex fibroadenoma microlobulation age>35 yrs size >3cm enlarging>30% 6months 2/19/2012 دکتر مریم طباطبائیان

B ENIGN LESIONS Cysts simple :<3cm- thin- homogenous-single or multiple complicated : >3cm-thick wall<3mm-thin septa 4% malignant complex : >3-5cm- mass- thick wall>3mm- irregular 20-40% malignant 2/19/2012 دکتر مریم طباطبائیان

B ENIGN LESIONS Fibrocystic changes without hyperplasia mild to moderate hyperplasia 2/19/2012 دکتر مریم طباطبائیان

B ENIGN LESIONS Papiloma papilomatosis 2/19/2012 دکتر مریم طباطبائیان

BIOPSY FNA CNB OPEN BIOPSY 2/19/2012 دکتر مریم طباطبائیان

2/19/2012 دکتر مریم طباطبائیان

2/19/2012 دکتر مریم طباطبائیان