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Ch8: Breast Disorders - Coggle Diagram
Ch8: Breast Disorders
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Benign breast disease
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gynaecomastia
causes: cannabis, spironolactone, anabolic steroids, oestrogen secreting tumours, chronic liver disease, hyperthyroidism, hypogonadism e.g. Klinefelter's
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Breast ca surgeries
wide local excision
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CIs: multifocal disease, large tumour, small breast, patient can't do radiotx (e.g. pregnant), repeated +ve margins
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axillary node clearance
3 levels: medial, behind + lat to pectoral muscles
risks: lymphoedema, axillary numbness, nerve of bell damage
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Breast ca medical tx
hormonal tx if ER+ve
tamoxifen (SERM, premenopausal)
anastrozole (aromatase i, post menopausal)
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