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

3rd Edition

Authors: Robert Mansel David Webster Helen Sweetland
Hardcover ISBN: 9780702027741
eBook ISBN: 9780702033568
Imprint: Saunders Ltd.
Published Date: 26th January 2009
Page Count: 368


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.

Key Features

  • Includes a comprehensive review of management options of all benign breast conditions, both common and rare to give you up-to-date diagnosis and treatment options on all benign conditions.
  • Incorporates lavish, full-color illustrations, including pathological appearance and schematic diagrams for a clear visual guide to the conditions discussed.
  • Describes operative surgical techniques step by step to help you achieve optimal technical results.

Table of Contents


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

Chapter 2 History of benign breast disease
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

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

Chapter 4 Aberrations of normal development and involution (ANDI): a concept
of benign breast disorders based on pathogenesis
Key points and new developments
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

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


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© Saunders Ltd. 2009
Saunders Ltd.
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About the Author

Robert Mansel

Affiliations and Expertise

Professor and Chairman of Division of Surgery, University of Wales College of Medicine, Heath Park, Cardiff, UK

David Webster

Affiliations and Expertise

Senior Lecturer and Consultant Surgeon, University of Wales College of Medicine, Heath Park, Cardiff, UK

Helen Sweetland

Affiliations and Expertise

Reader in Surgery, Department of Surgery, School of Medicine, Cardiff University and Honorary Consultant Surgeon, Cardiff and Vale NHS Trust, Cardiff, UK