DOCSLIB.ORG

FOGSI FOCUS Breast Disease Binder

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

Medical Ltd. (P) Brothers BreastFOGSI Diseases FOCUS JaypeePublishers Medical Ltd. (P) Brothers JaypeePublishers FOGSI FOCUS Breast Diseases Editor-in-Chief Jaideep Malhotra MD FRCOG FRCPI FICS (Obs & Gyn) (FICMCH FIAJAGO FMAS FICOG MASRM FICMU FIUMB) Professor Dubrovnik International University Dubrovnik, Croatia Managing Director ART-Rainbow IVF Agra, Uttar Pradesh, India President FOGSI–2018 Medical Editor Ltd. Kawita Bapat MS FICOG Director One Centre for Gynecological Excellence Bapat Hospital Indore, Madhya Pradesh, India (P) Foreword BrothersSuchitra N Pandit JaypeePublishers JAYPEE BROTHERS MEDICAL PUBLISHERS The Health Sciences Publisher New Delhi | London | Panama Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] OXerseas OHſces J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc 83 Victoria Street, London City of Knowledge, Bld. 235, 2nd Floor, Clayton SW1H 0HW (UK) Panama City, Panama Phone: +44 20 3170 8910 Phone: +1 507-301-0496 Fax: +44 (0)20 3008 6180 Fax: +1 507-301-0499 Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd Jaypee BrothersMedical Medical Publishers (P) Ltd 17/1-B Babar Road, Block-B, Shaymali Bhotahity, Kathmandu, Nepal Mohammadpur, Dhaka-1207 Phone: +977-9741283608 Bangladesh Email: [email protected]. Mobile: +08801912003485 Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com (P) © 2019, Federation of Obstetric and Gynaecological Societies of India (FOGSI) 2019 The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recordingBrothers or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such adviceJaypee or services are required,Publishers the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at VJGſTUVQRRQTVWPKV[6JGCD/DVD-ROM (if any) provided in the sealed envelope with this book is complimentary and free of cost. Not meant for sale. Inquiries for bulk sales may be solicited at: [email protected] FOGSI FOCUS Breast Diseases / Jaideep Malhotra, Kawita Bapat First Edition: 2019 ISBN: 978-93-5270-457-6 Printed at Contributors Editor-in-Chief Jaideep Malhotra MD FRCOG FRCPI FICS (Obs & Gyn) (FICMCH FIAJAGO FMAS FICOG MASRM FICMU FIUMB) Professor Dubrovnik International University Dubrovnik, Croatia Managing Director ART-Rainbow IVF Medical Agra, Uttar Pradesh, India President FOGSI–2018 Ltd. Editor (P) Kawita Bapat MS FICOG Director Brothers One Centre for Gynecological Excellence Bapat Hospital Indore, Madhya Pradesh, India Contributing Authors Shraddha Agarwal DGO Charulata A Bapaye MD Sujata A Dalvi MD DGO FCPS Director, KC Hospital Director, GEMS Hospital and Honorary Clinical Associate Palwal, Haryana, India Endoscopy Centre Department of Obstetrics and Gynecology Pune, Maharashtra, India Nowrosjee Wadia and Jagjivan Ram Richa DJaypee Baharani MD FICOG Publishers Railway Hospital Senior Consultant and Sneha S Bhuyar MD FICMCH FICOG Mumbai, Maharashtra, India Endoscopic Surgeon Managing Director, Department of Department of Obstetrics and Obstetrician and Gynecologist Parimala Devi MD FICOG FMAS Gynecology Sukhkarta Hospital Maternity and Surgical Consultant, Department of Obstetrician Jabalpur Hospital and Research Centre Nursing Home, Laparoscopy and Fertility and Gynecologist, Fortis Hospital and Jabalpur, Madhya Pradesh, India Centre Parimala Colposcopy Centre Yavatmal, Maharashtra, India Bangalore, Karnataka, India Sonam Baharani MS Senior Resident, Department of Surendra Bhuyar MS FMAS Rachna Dubey DGO MD PGDMCH MIPHA Obstetrician and Gynecologist Associate Professor, Department of Consultant, Department of Obstetrician Sri Aurobindo Institute of Medical Surgery, Shri Vasantrao Naik Government and Gynecologist Sciences Medical College Sir Hukumchand Hospital Indore, Madhya Pradesh, India Yavatmal, Maharashtra, India Indore, Madhya Pradesh, India Breast Diseases Archana M Dwivedi MB DGO FICOG Revathy Janakiram MD DGO MNAMS Charu Modi DGO MICMCH CIMP FICOG FICMCH Consultant Obstetrician and Gynecologist Senior Consultant, Department of Professor Emeritus, Department of Modi Nursing Home Obstetrician and Gynecologist Obstetrician and Gynecologist Patna, Bihar, India Sterling Hospitals and Manav Hospital Tamil Nadu Dr. M.G.R. Medical University Vadodara, Gujarat, India Chennai, Tamil Nadu, India Pushpa Pandey MD Senior Gynecologist, Department of Ramaraju H Ediger MS MICOG FICOG Rita K Jha MS PhD FICOG Obstetrician and Gynecologist MICMCH Assistant Professor, Department of Bombay Hospital Associate Professor, Department of Obstetrician and Gynecologist Jabalpur, Madhya Pradesh, India Obstetrician and Gynecologist Patna Medical College and Hospital Vijaynagar Institute of Medical Sciences Patna, Bihar, India Neerja Pauranik MS DGO Bellary, Karnataka, India Head, Department of Obstetrics and Shakuntla Kumar DGO FICOG FIAOG Gynecology, Bombay Hospital Poonam Goyal MD FICOG Dip Endo Indore, Madhya Pradesh, India Senior Consultant, Department of IVF and Managing Director and Head Infertility, Max Super Speciality Hospital Department of Obstetrician and Mumtaz Pulikkathodi DGO DNB New Delhi, India Gynecologist, Nulife Hospital FICOG Senior Consultant, Department of Associate Professor, Department of Amrit Gupta MS FICOG Obstetrician and Gynecologist Obstetrician and Gynecologist MedicalMES Medical College Additional Professor, Department of Fortis Hospital Shalimar Bagh Maternal and Reproductive Health New Delhi, India Perinthalmanna, Kerala, India Sanjay Gandhi Post Graduate Institute of Ltd. Medical Sciences Alka V Kuthe LLM PG Dip Human Rights Beenu K Singh MD DNB FICOG Lucknow, Uttar Pradesh, India Education Professor and Unit Head Consultant, Department of Obstetrics and Department of Obstetrics and Sangeeta Jain DGO FICOG Gynecology, Kuthe Accident Hospital and Gynecology, Shyam Shah Medical College Consultant, Department of Obstetrics and Maternity Nursing Home Rewa, Madhya Pradesh, India Amravati, Maharashtra, India (P) Gynecology, Vardhman Hospital Ambala City, Haryana, India Pratibha Singh MD MICOG Dip Adv Piyush Malhotra MS Gynec Lap Surgery Surbhi Jain MD Head, Department of Obstetrics and Consultant, Department of Obstetrics, Resident, Department of Medicine Gynecology Gynecology, and Infertility Government Medical College and Hospital BrothersSantosh Multispecialty Hospital Healing Touch Hospital Chandigarh, India Faridabad, Haryana, India Bhagalpur, Bihar, India Vipin Jain MD Dolly Mehra MS Consultant, Department of Medicine Consultant, Department of Obstetrician Vardhman Hospital and Gynecologist, Mehra Nursing Home Ambala City, Haryana, India Ratlam, Madhya Pradesh, India JaypeePublishers vi Message Jaideep Malhotra MBBS MD FRCOG FRCPI FICS (Obs & Gyn) (FICMCH FIAJAGO FMAS FICOG MASRM FICMU FIUMB) Professor Dubrovnik International University Dubrovnik, Croatia Managing Director ART-Rainbow IVF Agra, Uttar Pradesh, India President, FOGSI–2018 Medical Dear FOGSIANS, Ltd. Greetings to each one of you. August is month dedicated to breastfeeding, especially the first week from 1st to 7th August is Breastfeeding Week, and we at FOGSI have dedicated the month to the problems associated with the breast. Being gynecologists, we are still debating whether the diseases of the breast fall in our domain or not. I would like to ask everyone one question, if a girl, lady, or a woman has any problem associated with the breast, whom will she go to first? If we say for the breastfeeding, the domain is ours, but for the rest whosoever, are we correct?(P) The second question which I would like to raise is, why less and less of us obstetricians initiating breastfeeding, being mothers ourselves, being knowledgeable about the advantages for the baby and the mother too. My third question is, why being the proponents of
Recommended publications
  • Breast-Reconstruction-For-Deformities

    Breast-Reconstruction-For-Deformities

    ASPS Recommended Insurance Coverage Criteria for Third-Party Payers Breast Reconstruction for Deformities Unrelated to AMERICAN SOCIETY OF PLASTIC SURGEONS Cancer Treatment BACKGROUND Burn of breast: For women, the function of the breast, aside from the brief periods when it ■ Late effect of burns of other specified sites 906.8 serves for lactation, is an organ of female sexual identity. The female ■ Acquired absence of breast V45.71 breast is a major component of a woman’s self image and is important to her psychological sense of femininity and sexuality. Both men and women TREATMENT with abnormal breast structure(s) often suffer from a severe negative A variety of reconstruction techniques are available to accommodate a impact on their self esteem, which may adversely affect his or her well- wide range of breast defects. The technique(s) selected are dependent on being. the nature of the defect, the patient’s individual circumstances and the surgeon’s judgment. When developing the surgical plan, the surgeon must Breast deformities unrelated to cancer treatment occur in both men and correct underlying deficiencies as well as take into consideration the goal women and may present either bilaterally or unilaterally. These of achieving bilateral symmetry. Depending on the individual patient deformities result from congenital anomalies, trauma, disease, or mal- circumstances, surgery on the contralateral breast may be necessary to development. Because breast deformities often result in abnormally achieve symmetry. Surgical procedures on the opposite breast may asymmetrical breasts, surgery of the contralateral breast, as well as the include reduction mammaplasty and mastopexy with or without affected breast, may be required to achieve symmetry.
  • Spectrum of Benign Breast Diseases in Females- a 10 Years Study

    Spectrum of Benign Breast Diseases in Females- a 10 Years Study

    Original Article Spectrum of Benign Breast Diseases in Females- a 10 years study Ahmed S1, Awal A2 Abstract their life time would have had the sign or symptom of benign breast disease2. Both the physical and specially the The study was conducted to determine the frequency of psychological sufferings of those females should not be various benign breast diseases in female patients, to underestimated and must be taken care of. In fact some analyze the percentage of incidence of benign breast benign breast lesions can be a predisposing risk factor for diseases, the age distribution and their different mode of developing malignancy in later part of life2,3. So it is presentation. This is a prospective cohort study of all female patients visiting a female surgeon with benign essential to recognize and study these lesions in detail to breast problems. The study was conducted at Chittagong identify the high risk group of patients and providing regular Metropolitn Hospital and CSCR hospital in Chittagong surveillance can lead to early detection and management. As over a period of 10 years starting from July 2007 to June the study includes a great number of patients, this may 2017. All female patients visiting with breast problems reflect the spectrum of breast diseases among females in were included in the study. Patients with obvious clinical Bangladesh. features of malignancy or those who on work up were Aims and Objectives diagnosed as carcinoma were excluded from the study. The findings were tabulated in excel sheet and analyzed The objective of the study was to determine the frequency of for the frequency of each lesion, their distribution in various breast diseases in female patients and to analyze the various age group.
  • Burns, Surgical Treatment

    Burns, Surgical Treatment

    Philippine College of Surgeons Dear PCS Fellows, We at the PCS Committee on HMO, RVS, & PHIC & The PCS Board of Regents are pleased to announce the Adoption of PAHMOC of our new & revised RVS. We are currently under negotiations with them with regard to the multiplier to be used to arrive at our final professional Fees. Rest assured that we will have a graduated & staggered increase of PF thru the years from what we are currently receiving due to the proposed yearly increments in the multiplier. To those Fellows who haven’t signed the USA (Universal Service Agreement found here in our PCS website) please be reminded to sign and submit to the PCS Secretariat, as only those who did and are in good standing (updated annual dues) will be eligible to avail of the benefits of the new RVS scale. Indeed, we are hoping & looking forward to a merrier 2020 Christmas for our Fellows. Yours truly, FERNANDO L. LOPEZ, MD, FPCS Chairman Noted by: JOSELITO M. MENDOZA, MD, FPCS Regent-in-Charge JOSE ANTONIO M. SALUD, MD, FPCS President For many years now the PCS Committee on HMO & RUV has been compiling, with the assistance of the different surgical subspecialties, a new updated list of RUV for each procedure to replace the existing manual of 2009. This new version not only has a more complete listing of cases but also includes the newly developed procedures particularly for all types of minimally invasive operations. Sometime last year, the Department of Health released Circular 2019-0558 on the Public Access to the Price Information by all Health Providers as required by Section 28.16 of the IRR of the Universal Health Care Act.
  • Congenital Problems in the Pediatric Breast Disclosure

    Congenital Problems in the Pediatric Breast Disclosure

    3/20/2019 Congenital Problems in the Pediatric Breast Alison Kaye, MD, FACS, FAAP Associate Professor Pediatric Plastic Surgery Children’s Mercy Kansas City © The Children's Mercy Hospital 2017 1 Disclosure • I have no relevant financial relationships with the manufacturers(s) of any commercial products(s) and/or provider of commercial services discussed in this CME activity • I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation 1 3/20/2019 Pediatric Breast • Embryology • Post-natal development • Hyperplasia • Hypoplasia • Deformation Embryology 4th week of gestation: 2 ridges of thickened ectoderm appear on the ventral surface of the embryo between the limb buds 2 3/20/2019 Embryology By the 6th week ridges disappear except at the level of the 4th intercostal space Breast Embryology In other species multiple paired mammary glands develop along the ridges – Varies greatly among mammalian species – Related to the number of offspring in each litter 3 3/20/2019 Neonatal Breast • Unilateral or bilateral breast enlargement seen in up to 70% of neonates – Temporary hypertrophy of ductal system • Circulating maternal hormones • Spontaneous regression within several weeks Neonatal Breast • Secretion of “witches’ milk” – Cloudy fluid similar to colostrum – Water, fat, and cellular debris • Massaging breast can exacerbate problem – Persistent breast enlargement – Mastitis – Abscess 4 3/20/2019 Thelarche • First stage of normal secondary breast development – Average age of 11 years (range 8-15 years) • Estradiol causes ductal and stromal tissue growth • Progesterone causes alveolar budding and lobular growth Pediatric Breast Anomalies Hyperplastic Deformational Hypoplastic 5 3/20/2019 Pediatric Breast Anomalies Hyperplastic Deformational Hypoplastic Polythelia Thoracostomy Athelia Polymastia Thoracotomy Amazia Hyperplasia Tumor Amastia Excision Thermal Tumors Poland Injury Syndrome Tuberous Gynecomastia Penetrating Injury Deformity Adapted from Sadove and van Aalst.
  • Lupus Mastitis

    Lupus Mastitis

    Published online: 2021-07-31 SPECIAL SYMPOSIUM - BREAST Lupus mastitis - peculiar radiological and pathological features Abdul Majid Wani, Waleed Mohd Hussain, Mohamed I Fatani, Bothaina Abdul Shakour Department of Radiology, Hera General Hospital, Makkah-10513, Saudi Arabia Correspondence: Dr Abdul Majid Wani, Hera General Hospital, Makkah-105 13, Saudi Arabia, E-mail: [email protected] Abstract Lupus mastitis is a form of lupus profundus that is seen in patients with systemic lupus erythematosus. It usually presents as a swelling (or swellings) in the breasts, with or without pain. The condition is recurrent and progresses along with the underlying disease, with fat necrosis, calcification, fibrosis, scarring, and breast atrophy. Lupus mastitis is often confused with malignancy and lymphoma and, in our part of the world, with tuberculosis. Confusion is especially likely when it occurs in an unusual clinical setting. In this article, we present a case that presented with unique radiological, pathological, and clinical features. Awareness of the various manifestations of lupus mastitis is essential if unnecessary interventions such as biopsies and surgeries, and their consequences, are to be avoided. Key words: Biopsy; lupus mastitis; lupus profundus; mammography; fine needle aspiration cytology; systemic lupus erythematosus Introduction hospital) was present and the patient reported that she had received antituberculous medication for 1 month at that Systemic lupus erythematosus (SLE) is a multisystem, time. Two 1 × 1.5 cm lymph nodes were present in the left autoimmune disorder. Involvement of the subcutaneous axillary region. The left breast revealed multiple lumps, the fat was termed as lupus profundus by Iregang.[1] Lupus biggest being 4 × 3 cm in size.
  • Análise De Receptores Hormonais De Estrógeno E Progesterona Em

    Análise De Receptores Hormonais De Estrógeno E Progesterona Em

    NUBERTO HOPFGARTNER TEIXEIRA Análise de receptores hormonais de estrógeno e progesterona em hipertrofia mamária versus normomastia, avaliação de presença e densidade com uma nova proposta de classificação das hipertrofias mamárias Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para obtenção do Título de Doutor em Ciências Programa de Clínica Cirúrgica Orientador: Prof. Dr. Marcio Paulino Costa São Paulo 2019 Autorizo a reprodução e divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que citada a fonte. Dedico esta tese A minha esposa Vivian. Ao meu filho Henri. Ao meu falecido pai que me modelou para vida. À minha mãe que sempre se mostrou uma batalhadora. AGRADECIMENTOS Agradeço ao meu orientador Prof. Dr. Marcio Paulino Costa e ao Departamento de Patologia nas pessoas dos patologistas: Evelin Sanchez, Profa. Dra. Sheila Siqueira e Prof. Dr. Venâncio Avancini Ferreira Alves, os quais possibilitaram esta tese e cujas análises me permitiram concluir. Aos pacientes que concederam suas mamas para participação deste estudo. Ao Prof. Dr. Rolf Gemperli, Professor Titular da Disciplina de Cirurgia Plástica. “A tarefa não é tanto ver aquilo que ninguém viu, mas pensar o que ninguém ainda pensou sobre aquilo que todo mundo vê”. Arthur Schopenhauer NORMALIZAÇÃO ADOTADA Esta tese está de acordo com as seguintes normas, em vigor no momento desta publicação: Referências: adaptado de International Committee of Medical Journals Editors (Vancouver). Universidade de São Paulo. Faculdade de Medicina. Divisão de Biblioteca e Documentação. Guia de apresentação de dissertações, teses e monografias. Elaborado por Anneliese Carneiro da Cunha, Maria Julia de A.
  • Back Pain: an Assessment in Breast Hypertrophy Patients

    Back Pain: an Assessment in Breast Hypertrophy Patients

    ORIGINAL ARTICLE BACK PAIN: AN ASSESSMENT IN BREAST HYPERTROPHY PATIENTS PAULO MAGALHÃES FERNANDES1, MIGUEL SABINO NETO2, DANIELA FRANCESCATO VEIGA3, LUIS EDUARDODUARDO FELIPE ABLABLA4, CARLOS DELANO ARAÚJO MUNDIM 5, YARAARA JULIANOULIANO6,� LYDIAYDIA MASAKOASAKO FERREIRAERREIRA7 SUMMARY used in order to evaluate the magnitude of back pain and Objective – To evaluate the influence of breast hypertrophy on the limitations arising from these symptoms. Results – The the incidence of back pain and how much they can interfere in mean age of the patients in the study group was 32.2 years patients’ daily activities. Methods – This was a cross-sectional and 32.7 for the control group. The scores in the NRS scale analytic study in patients examined at the Outpatient Ortho- and Roland- Morris Questionnaire were higher in the study pedics and Plastic Surgery Departments at Samuel Libânio group when compared to the control group. Conclusion – The University Hospital in Pouso Alegre, MG. 100 women were results achieved showed that back pain is more severe and examined, 50 presenting breast hypertrophy (study group) determined more extensive limitations in the daily activities and 50 with normal breast size (control group). Breasts were for patients presenting breast hypertrophy. classified according to Sacchini’s criteria. The Numerical Ra- ting Scale (NRS) and the Roland-Morris questionnaire were Keywords: Back pain; Quality of life; Neck pain; Breast. Citation: Fernandes PM, Sabino Neto M, Veiga DF, Abla LEF, Mundim CDA, Juliano Y et al. Back pain: an assessment in breast hypertrophy patients. Acta Ortop Bras. [serial on the Internet]. 2007; 15(4): 227-230. Available from URL: http://www.scielo.br/aob.
  • Clinical and Imaging Evaluation of Nipple Discharge

    Clinical and Imaging Evaluation of Nipple Discharge

    REVIEW ARTICLE Evaluation of Nipple Discharge Clinical and Imaging Evaluation of Nipple Discharge Yi-Hong Chou, Chui-Mei Tiu*, Chii-Ming Chen1 Nipple discharge, the spontaneous release of fluid from the nipple, is a common presenting finding that may be caused by an underlying intraductal or juxtaductal pathology, hormonal imbalance, or a physiologic event. Spontaneous nipple discharge must be regarded as abnormal, although the cause is usually benign in most cases. Clinical evaluation based on careful history taking and physical examination, and observation of the macroscopic appearance of the discharge can help to determine if the discharge is physiologic or pathologic. Pathologic discharge can frequently be uni-orificial, localized to a single duct and to a unilateral breast. Careful assessment of the discharge is mandatory, including testing for occult blood and cytologic study for malignant cells. If the discharge is physiologic, reassurance of its benign nature should be given. When a pathologic discharge is suspected, the main goal is to exclude the possibility of carcinoma, which accounts for only a small proportion of cases with nipple discharge. If the woman has unilateral nipple discharge, ultrasound and mammography are frequently the first investigative steps. Cytology of the discharge is routine. Ultrasound is particularly useful for localizing the dilated duct, the possible intraductal or juxtaductal pathology, and for guidance of aspiration, biopsy, or preoperative wire localization. Galactography and magnetic resonance imaging can be selectively used in patients with problematic ultrasound and mammography results. Whenever there is an imaging-detected nodule or focal pathology in the duct or breast stroma, needle aspiration cytology, core needle biopsy, or excisional biopsy should be performed for diagnosis.
  • Breast Infection: a Review of Diagnosis and Management Practices

    Breast Infection: a Review of Diagnosis and Management Practices

    Review Eur J Breast Health 2018; 14: 136-143 DOI: 10.5152/ejbh.2018.3871 Breast Infection: A Review of Diagnosis and Management Practices Eve Boakes1 , Amy Woods2 , Natalie Johnson1 , Naim Kadoglou1 1Department of General Surgery, London North West Healthcare NHS Trust, Northwick Park Hospital, Middlesex, Londan 2Department of Medicine, Croydon University Hospital, Croydon, London ABSTRACT Mastitis is a common condition that predominates during the puerperium. Breast abscesses are less common, however when they do develop, delays in specialist referral may occur due to lack of clear protocols. In secondary care abscesses can be diagnosed by ultrasound scan and in the past the management has been dependent on the receiving surgeon. Management options include aspiration under local anesthetic or more invasive incision and drainage (I&D). Over recent years the availability of bedside/clinic based ultrasound scan has made diagnosis easier and minimally invasive procedures have become the cornerstone of breast abscess management. We review the diagnosis and management of breast infection in the primary and secondary care setting, highlighting the importance of early referral for severe infection/breast abscesses. As a clear guideline on the manage- ment of breast infection is lacking, this review provides useful guidance for those who rarely see breast infection to help avoid long-term morbidity. Keywords: Mastitis, abscess, infection, lactation Cite this article as: Boakes E, Woods A, Johnson N, Kadoglou. Breast Infection: A Review of Diagnosis and Management Practices. Eur J Breast Health 2018; 14: 136-143. Introduction Mastitis is a relatively common breast condition; it can affect patients at any time but predominates in women during the breast-feeding period (1).
  • Spectrum of Breast Disorders in a Pediatric Surgery Clinic: Retrospective Study

    Spectrum of Breast Disorders in a Pediatric Surgery Clinic: Retrospective Study

    Article ID: WMC003775 ISSN 2046-1690 Spectrum of Breast Disorders in A Pediatric Surgery Clinic: Retrospective Study Corresponding Author: Dr. Atilla Senayli, Assistant Prof., Pediatric Surgery, Yildirim Beyazit University - Turkey Submitting Author: Dr. Atilla Senayli, Assistant Prof., Pediatric Surgery, Yildirim Beyazit University - Turkey Article ID: WMC003775 Article Type: Original Articles Submitted on:26-Oct-2012, 05:59:39 AM GMT Published on: 26-Oct-2012, 06:25:34 PM GMT Article URL: http://www.webmedcentral.com/article_view/3775 Subject Categories:PAEDIATRIC SURGERY Keywords:Breast; Disorders; Children How to cite the article:Senayli A, Karaveliolu A , Koseoglu B , Akln M , Ozguner I . Spectrum of Breast Disorders in A Pediatric Surgery Clinic: Retrospective Study . WebmedCentral PAEDIATRIC SURGERY 2012;3(10):WMC003775 Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution License(CC-BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Source(s) of Funding: None Competing Interests: None WebmedCentral > Original Articles Page 1 of 7 WMC003775 Downloaded from http://www.webmedcentral.com on 26-Oct-2012, 06:25:34 PM Spectrum of Breast Disorders in A Pediatric Surgery Clinic: Retrospective Study Author(s): Senayli A, Karaveliolu A , Koseoglu B , Akln M , Ozguner I Abstract Paediatricians must pay attention to breast disorders that may be seen at any paediatric age group. (1). Objective: There are a limited and inadequate data Although most of the diseases are benign as a fact, for breast diseases in children. This may be because the possibility of malignancy can never be ignored of low importance expectations of practitioners' for (1-3).
  • Rhode Island Breastfeeding Resource Directory 2009-2010 Acknowledgments

    Rhode Island Breastfeeding Resource Directory 2009-2010 Acknowledgments

    THE RHODE ISLAND BREASTFEEDING COALITION & THE RHODE ISLAND DEPARTMENT OF HEALTH RHODE ISLAND BREASTFEEDING RESOURCE DIRECTORY 2009-2010 ACKNOWLEDGMENTS The Rhode Island Breastfeeding Coalition would like to thank the Rhode Island Department of Health Special Supplemental Nutrition Program for Women, Infants and Children and the Initiative for a Healthy Weight for updating and printing this latest edition of the Rhode Island Breastfeeding Resource Directory. We would also like to acknowledge the work and efforts of the members of the coalition, without whose help this project would not have been possible. This resource directory and updated information are available at www.health.ri.gov/topics/breastfeeding.pdf 1 T TABLE OF CONTENTS A B L E O INTRODUCTION F C O N T Introductory Statements ............................................................................................................ 2 E N T The WHO/UNICEF Baby Friendly Hospital Initiative .................................................................... 4 S PRENATAL & POSTPARTUM SUPPORT Women, Infants, and Children (WIC) Program .......................................................................... 6 Prenatal Breastfeeding Classes .................................................................................................. 8 Breastfeeding Warm-Lines ........................................................................................................ 9 Outpatient Lactation Support .................................................................................................
  • Journal of Clinical Review & Case Reports

    Journal of Clinical Review & Case Reports

    ISSN: 2573-9565 Case Report Journal of Clinical Review & Case Reports Pseudo Angiomatous Stromal Hyperplasia of the Breast: A Case of A 19-Year-Old Asian Girl Yuzhu Zhang1, Weihong Zhang2# , Yijia Bao1, Yongxi Yuan1,3* 1Department of Mammary gland, Longhua Hospital Affiliated to Shanghai University of TCM, Shanghai, China *Corresponding author 2Department of Mammary gland, Baoshan branch of Shuguang Yongxi Yuan, Department of Mammary gland, Longhua Hospital Hospital Affiliated to Shanghai University of TCM, Shanghai,201900, Affiliated to Shanghai University of TCM & Huashan Hospital, China. Shanghai Medical College, Fudan University, Shanghai, China. Tel: +8602164383725; Email: [email protected] 3Department of Mammary gland, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China Submitted: 11 Oct 2017; Accepted: 20 Oct 2017; Published: 04 Nov 2017 #co-first author Abstract Pseudoangiomatous stromal hyperplasia (PASH), a benign disease with extremely low incidence, is manifested as giant breasts, frequent relapse after surgery, or endocrine disorder. Cases with unilateral breast and undetailed endocrine condition have been reported in African and American. In this case, a 19-year-old Asian girl suffered from bilateral breast PASH after the human placenta and progesterone treatment for 3-month delayed menstruation. Her breasts enlarged remarkably 1 month after the treatment, with extensive inflammatory swell in bilateral mammary glands and subcutaneous edema in retromammary space. The patient received the bilateral quadrantectomy plus breast reduction and suspension surgery to terminate the progressive hyperplasia of breast. During the whole treatment period, the patient was given tamoxifen treatment for 4 months, and endocrine levels were intensively recorded. The follow-up after 4 months showed recovered breast with normal shape and size, and there was no distending pain, a tendency toward breast hyperplasia, or menstrual disorder.