扬州大学：《外科学》课程教学课件（PPT讲稿，Surgery）Chapter 17. Breast Diseases

Breastt Disease

Breast Disease

Anatomy*Modified sweatglandMammarytatNippiepua tlactitorous sirus)Montgumory'sbetweenthetuborculesLantiferousductsArooiasuperficialanddeepAchsiatvmol)withparanchyraremovodlayersofthechestwallCoeper's(suspensony)igaments*Cooper'sLigament*Fibrous band oftissue-otuesSuboutaneous TatLoDeNippleandsubareolarmutculatureInteriobutarconnecthes tissue

AnatomyLobularLobuleCells兴DuctsTerminal ductulesDuct*Milking forming glandsCells*LobuleDuctDuctsAreolaNippleLobuleFatty ConnectiveTissue

AnatomyheadotbicepsbrachilmCoracoidprocessAxillarylymphnodesKPectoralisDeltoideusmminor:m.definedbypectoralisminormuscleLevel1-lateralCoraco*Level2-posteriorbrachialism*Level3-medialTeresmajorm,*LongThoracicNerve*Serratusanterior*ThoracodorsalNerve*LatissimusDorsiSubscapularism.*IntercostalbrachialNerveSerratus anterior m.Lateral cutaneousLatissimus dorsim.Sensorytomedial arm&axillaObliquusextemusabdominis m.Copyright2004,Esevi

Clinical ExamInspection米Skin水中SymmetryMasses*Palpable*GlandAxilla,Supraclavicular*spaces*Nipple-areolacomplex

Breast MassBreastCysts**Fluid-filled*1outofevery14women50%multipleandrecurrentHormonallyinfluenced*Needleaspirated

BreastCystP60NP739LBreast Diagnostic CenterGELTBREASTCNO4cmDR6660BREASTCYSTMI=0.6

Breast Mass*Fibroadenoma*StromalandepithelialelementsMostcommoninwomen<3oyo米*Firm,solitarytumors*Multiple*Increasein sizeManagementK*BiopsykExcisionalbiopsy

Fibroadenoma12LA39SWEDISH MEDICAL CENTERGE4cmBREASTFROZEN26G84DRFIBROADENOMAMI<0.4A0=100%

BreastInfections*Mastitis*Generalizedcellulitisofthebreast*Ascendinginfectionsubareolarductscommonlyoccursduringlactation水*Staph.aureus*Erythema,pain,tenderness