Benign Breast Diseases: Radiology - Pathology - Risk Assessment

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Springer Science & Business Media, Feb 20, 2004 - Medical - 150 pages
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Widespread use of mammography results in detection of small cancers with favorable prognosis, as well as an array of indeterminate lesions, the majority of which turn out to be histologically benign. This book gives a detailed account of the radiology and pathology of screening-detected lesions, with discussion of risk assessment, to assist clinicians in the follow-up of their patients. Related lesions are dealt with in consecutive chapters, giving the reader an opportunity for comparison. The book is well illustrated with radiological and pathological correlation of mostly screening-detected images including mucocele-like lesions and columnar lesions. All professionals who care for patients with breast disease, such as breast surgeons, radiologists, pathologists and breast care nurses, will find the book highly useful for the management of patients with benign or indeterminate breast lesions in a multidisciplinary setting.

  

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Contents

Radiology of Benign Breast Disease
1
12 Mammography
2
13 Ultrasonography
3
14 Magnetic Resonance Imaging
4
151 Fine Needle Aspiration Cytology
5
153 Directional VacuumAssisted Core Biopsy
8
Surgery of Benign Breast Disease
10
22 Probably Benign Lesions Excised to Exclude Malignancy?
11
as Premalignant Lesions
71
with lntraductal Papillomas?
72
65 Pregnancylike Change
76
References
82
Cystic Lesions
85
712 What is the Stimulus that Evokes the Metaplastic Process?
87
714 Sonographic Features of Fibrocystic Change
90
716 Magnetic Resonance Imaging of Cysts
91

223 Radial Scar
12
228 Fibroadenoma
14
Pathology of Benign Breast Disease
16
312 Ancillary Stains in Benign Breast Disease
17
33 Reporting Needle Core Biopsies
18
References
19
Fibroepithelial Lesions
21
412 Sonographic Features of Fibroadenoma
22
415 Should a Pathologically Proven Fibroadenoma be Excised?
23
42 Fibroadenomatoid Hyperplasia
24
43 Hamartoma
28
432 Sonographic Features of Hamartoma
30
433 Histological Features of a Hamartoma
31
References
32
Infiltrative Pseudomalignant Lesions
35
512 Mammographic Features of the Radial Scar
36
52 Sclerosing Adenosis
42
53 Apocrine Adenosis
48
54 Microglandular Adenosis
50
541 Radiological Features of Microglandular Adenosis
51
References
55
Hyperplastic Epithelial Lesions
57
612 Molecular Pathology of Epithelial Hyperplasia of Usual Type
60
62 Atypical Ductal Hyperplasia
61
624 Clinical Significance of Atypical Ductal Hyperplasia
64
625 Management of Patients with Atypical Lobular Hyperplasia
65
632 What is the Risk of Bilateral Cancer in Patients with Atypical Lobular Hyperplasia?
66
635 Comparison of Atypical Lobular Hyperplasia and Atypical Ductal Hyperplasia
69
641 Radiological Features of Intraductal Papillomas
70
719 Molecular Pathology of Fibrocystic Change
92
72 Duct Ectasia
93
722 Mammographic Features of Duct Ectasia
94
73 Comparison of Fibrocystic Change and Duct Ectasia
96
References
99
Mucocelelike Lesions
101
References
106
Columnar Cell Lesions
107
92 Columnar Cell Hyperplasia
115
932 Atypical Lobule
116
937 Pretubular Metaplasia
117
95 Clinical Significance of Columnar Cell Lesions
118
Calcification in Benign Lesions
120
102 Assessing Microcalcification
121
104 Vascular Calcification
124
References
126
Nonepithelial Lesions
127
1112 Pathological Features of Fat Necrosis
128
112 Focal Fibrosis
132
113 Postsurgical Scarring
134
References
137
Risk Assessment in Benign Breast Disease
138
1212 Relative Risk Versus Absolute Risk
139
1222 Parenchymal Patterns and Risk of Breast Cancer
140
on Breast Density
141
123 Pathological Risk Factors
143
References
144
Subject Index
147
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Page 144 - London SJ, Connolly JL, Schnitt SJ, Colditz GA. A prospective study of benign breast disease and the risk of breast cancer. JAMA 1992; 267:941-944.

About the author (2004)

Dr. Chinyama qualified with Honours Degree in Medicine in Harare, Zimbabwe, Trained in Breast Pathology at St. Bartholomew's Hospital, London and Bristol South West Breast Screening Unit in Bristol,UK. Worked as Senior Lecturer/Honorary Consultant in Histopathology at Guy's and St.Thomas' Hospital, London. Currently working as a Consultant Pathologist, Princess Elizabeth Hospital, Guernsey, Channel Islands.

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