HUGHES, MANSEL & WEBSTER'S BENIGN DISORDERS AND DISEASES OF THE BREAST
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By Robert Mansel, MB, BS, MRCS, LRCP, FRCS, MS, Professor and Chairman of Division of Surgery, University of Wales College of Medicine, Heath Park, Cardiff, UK David Webster, MD, FRCS, Senior Lecturer and Consultant Surgeon, University of Wales College of Medicine, Heath Park, Cardiff, UK Helen Sweetland, MBChB, MD, FRCS(Ed), Reader in Surgery, Department of Surgery, School of Medicine, Cardiff University and Honorary Consultant Surgeon, Cardiff and Vale NHS Trust, Cardiff, UK
Description 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.
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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