Hughes, Mansel & Webster

Hughes, Mansel & Webster's Benign Disorders and Diseases of the Breast

The latest edition of this modern classic represents the distillation of over 35 years of clinical experience and research in the Cardiff Clinic and is unique in its depth of coverage of the entire spectrum of benign breast complaints. It provides practical and detailed management guidelines and integrates pathology throughout. Relevant investigations are discussed and clear advice is given for the most effective treatment strategies in each condition, including dealing with treatment failures and recurring problems.

Audience
General Surgery, Gynecology

Hardbound, 368 Pages

Published: January 2009

Imprint: Saunders

ISBN: 978-0-7020-2774-1

Contents

  • Foreword
    Preface
    Acknowledgementsi
    Dedication

    Chapter 1 Problems of concept and nomenclature of benign disorders of the breast
    Key points and new developments
    The source of the problem
    History
    The present and the future
    References

    Chapter 2 History of benign breast disease
    Introduction
    Sir Astley Paston Cooper, Bt. FRS DCL GCH. 1768–1841
    Alfred Velpeau. 1785–1867
    John Birkett FRCS Fellow of the Linnean Society. 1815–1904
    George Lenthal Cheatle. 1865–1951
    Joseph Colt Bloodgood. 1867–1935
    Charles F. Geschickter. 1901–?
    An analysis of the contributions of these six men
    References

    Chapter 3 Breast anatomy and physiology
    Key points and new developments
    Development
    Changes at puberty
    Adult anatomy
    Microscopic anatomy
    Biochemical control of breast epithelium
    Cyclical changes in breast epithelium
    Changes during pregnancy and lactation
    Postmenopausal involution
    References

    Chapter 4 Aberrations of normal development and involution (ANDI): a concept
    of benign breast disorders based on pathogenesis
    Key points and new developments
    Introduction
    Recognition of the normality of much benign breast ‘disease’
    Problems with the conventional view of benign breast disease
    The physiological processes underlying the ANDI concept
    A framework based on pathogenesis
    Reasons for including various benign breast disorders as part of ANDI
    An extension of the concept of ANDI to include most benign breast disorders?
    Implications for the management of benign breast disorders
    Aberration to disease?
    Recent developments having a bearing on the ANDI concept
    References

    Chapter 5 The approach to diagnosis and assessment of breast lumps
    Key points and new developments
    Part 1: The differential diagnosis and clinical assessment of breast lumps
    Clinical assessment of a breast lump
    Features of individual lesions
    Follow-up after assessment and/or benign breast biopsy
    Management of recurrent lumps following biopsy
    Breast masses related to different life periods
    Part 2: Triple assessment and organization of the breast clinic
    Fine needle aspiration cytology
    Ultrasound in triple assessment
    Wide-bore needle biopsy
    Mammotome or vacuum-assisted biopsy
    Organization of clinics
    Medico-legal issues
    References

    Chapter 6 Imaging of the breast
    Key points and new developments
    Introduction
    Breast density
    Mammography
    Breast ultrasound
    Breast magnetic resonance imaging
    Biopsy techniques
    Breast localization techniques
    References

    Chapter 7 Fibroadenoma and related tumours
    Key points and new developments
    Terminology
    Fibroadenoma simplex
    Cancer and fibroadenoma
    Multiple fibroadenomas
    Giant fibroadenoma
    Phyllodes tumour and phyllodes sarcoma (cystosarcoma phyllodes)
    Pseudoangiomatous hyperplasia
    References

    Chapter 8 Breast pain and nodularity
    Key points and new developments
    Introduction
    Historical note
    Frequency of breast pain
    Mastalgia in breast cancer
    Classification
    Aetiology of mastalgia and nodularity
    Management of patients with mastalgia
    Natural history of mastalgia
    Plan of management for patients with mastalgia
    Mastalgia in the postmenopausal patient
    Patients with refractory mastalgia
    The relationship of cyclical mastalgia to premenstrual stress
    Conclusion
    References

    Chapter 9 Sclerosing adenosis, radial scar and complex sclerosing lesions
    Key points and new developments
    Introduction
    Sclerosing adenosis
    Radial scar and complex sclerosing lesions
    References

    Chapter 10 Cysts of the breast
    Key points and new developments
    Introduction
    Pathology
    Incidence
    Pathogenesis and cyst types
    Aetiology
    Clinical features
    Age
    Natural history
    Investigation
    Differential diagnosis
    management
    Galactocele
    Papillary tumours associated with macrocysts
    References

    Chapter 11 The duct ectasia/periductal mastitis complex
    Key points and new developments
    Introduction
    Historical survey
    Pathology and pathogenesis of duct ectasia/periductal mastitis
    The development of the duct ectasia/periductal mastitis complex
    The clinical spectrum of duct ectasia/periductal mastitis
    Breast masses associated with periductal mastitis
    Frequency of duct ectasia/periductal mastitis
    Radiology
    Management
    The consequences and results of operations for duct actasia
    Recurrent infection after surgery for periductal mastitis
    References

    Chapter 12 Disorders of the nipple and areola
    Key points and new developments
    Introduction
    Nipple inversion and retraction
    Cracked nipples
    Nipple crusting
    Erosive adenomatosis
    Syringomatous adenoma
    Nodular mucinosis
    Simple fibroepithelial polyp
    Eczema
    Leiomyoma
    Traumatic lesions
    Nipple pain
    Nipple disease and HIV infection
    Montgomery’s glands
    Sebaceous cyst of the nipple
    Viral infections
    Hidradenitis suppurativa of the areola
    References

    Chapter 13 Nipple discharge
    Key points and new developments
    Introduction
    Definition
    Incidence
    Character and significance of discharge
    Pathology underlying nipple discharge
    Assessment
    Management
    References

    Chapter 14 Infections of the breast
    Key points and new developments
    Introduction
    Lactational breast infection
    Subclinical mastitis
    Nonlactational breast abscess
    Infections in immunocompromised patients
    Iatrogenic abscess
    Specific infections of the breast
    Infections of associated structures
    References

    Chapter 15 Congenital and growth disorders
    Key points and new developments
    Introduction
    Developmental anomalies
    Premature breast development
    Hypertrophic abnormalities of the breast
    Excessive postlactational involution
    Genetic abnormalities involving the breast
    Surgical treatment
    References

    Chapter 16 The male breast
    Key points and new developments
    Development of the male breast
    Gynaecomastia
    Other male breast disease
    References

    Chapter 17 Miscellaneous conditions
    Introduction
    Trauma
    Fat necrosis
    Paraffinoma and silicone reactions
    Lipoma
    Hamartoma (adenolipoma)
    Oedema of the breast
    The post-irradiated breast
    Fibrous disease of the breast
    Fibromatosis (desmoid tumour)
    Nodular fasciitis
    Diabetic mastopathy
    Idiopathic granulomatous mastitis (non-specific granulomatous disease)
    Sarcoid
    Amyloid
    Blood vessels
    Atherosclerosis and aneurysm
    Mondor’s disease
    Infarction
    Skin-related conditions
    Hidradenitis suppurativa of the breast
    Tumours of nerve origin
    Granular cell tumour (myoblastoma)
    Artefactual disease of the breast
    Foreign bodies
    Mammalithiasis
    Phantom breast syndrome
    Mammary mucocele-like lesion
    Breast tumour of pregnancy (lactating adenoma)
    Collagenous spherulosis of the breast
    Gynaecomastia-like lesions in women
    References

    Chapter 18 Operations
    Introduction
    Tissue diagnosis in the clinic
    Removal of giant fibroadenoma and phyllodes tumour
    Microdochectomy
    Excision of mammary duct fistula
    Major duct excision (Adair/Urban/Hadfield)
    Drainage of a lactational breast abscess
    Subcutaneous mastectomy in male patients
    Subcutaneous mastectomy or skin sparing mastectomy in women
    Operations for inverted nipples
    References

    Chapter 19 Psychological aspects of benign breast disease
    Key points and new developments
    Introduction
    Psychological problems resulting from presenting with breast problems
    Psychological abnormality as a cause of benign breast disease
    References

    Chapter 20 Risk assessment and management
    Summary
    Breast cancer: the disease
    The breast cancer genes
    Conclusion
    References
    Index

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