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BREAST LUMP

BREAST LUMP. BREAST LUMP. Abdul.Kader WEISS M.D CHIRURGIE GENERALE ET VISCERALE /CHIRURGIE COELIOSCOPIQUE D.E.S , A.F.S ,A.F.S.A , DU / FRANCE Reference Surgery at a Glance 2ed Anatomy at a Glance Schwartz's Principles of Surgery, Ninth Edition. DEFINITION. DEFINITION.

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BREAST LUMP

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  1. BREAST LUMP

  2. BREAST LUMP Abdul.Kader WEISS M.D CHIRURGIE GENERALE ET VISCERALE /CHIRURGIE COELIOSCOPIQUE D.E.S , A.F.S ,A.F.S.A , DU / FRANCE Reference Surgery at a Glance 2ed Anatomyat a Glance Schwartz's Principles of Surgery, Ninth Edition

  3. DEFINITION

  4. DEFINITION ANY PALPABLE MASS IN THE BREAST

  5. ENLARGEMENT OF THE WHOLE BREAST CAN OCCUR EITHER UNI- OR BILATERALLY

  6. BUT

  7. THIS IS NOT STRICTLY A BREAST LUMP

  8. ANATOMY

  9. SPECIALIZED SKIN GLANDS

  10. SPECIALIZED SKIN GLANDSCOMPRISING

  11. SPECIALIZED SKIN GLANDSCOMPRISING FAT

  12. SPECIALIZED SKIN GLANDSCOMPRISING FAT GLANDULAR

  13. SPECIALIZED SKIN GLANDSCOMPRISING FAT GLANDULAR AND CONNECTIVE TISSUE

  14. BLOOD SUPPLY

  15. VENOUS DRAINAGE

  16. VENOUS DRAINAGE CORRESPONDS TO THE ARTERIAL SUPPLY

  17. LYMPHATIC DRAINAGE

  18. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS

  19. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS

  20. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns

  21. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns C - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.Ns

  22. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns C - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.Ns D - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE AXILLA

  23. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns C - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.Ns D - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE AXILLA E - THE SUBCLAVICULAR GROUP (APICAL ), 6-12 L.Ns

  24. THE SIX AXILLARY LYMPH NODE GROUPS RECOGNIZED BY SURGEONS A - THE AXILLARY VEIN GROUP (LATERAL), 4-6 L.NS B - THE EXTERNAL MAMMARY GROUP (ANTERIOR GROUP), 5-6 L.Ns C - THE SCAPULAR GROUP (POSTERIOR OR SUBSCAPULAR), 5-7 L.Ns D - THE CENTRAL GROUP, 3-4 L.Ns , EMBEDDED IN THE FAT OF THE AXILLA E - THE SUBCLAVICULAR GROUP (APICAL ), 6-12 L.Ns F - THE INTERPECTORAL GROUP (ROTTER'S NODES), 1-4 L.Ns

  25. LYMPHATIC PATHWAYS OF THE BREAST

  26. LYMPHATIC PATHWAYS OF THE BREAST

  27. LYMPHATIC PATHWAYS OF THE BREAST LEFT BREAST

  28. LYMPHATIC PATHWAYS OF THE BREAST LEFT BREAST ARROWS INDICATE THE DIRECTION OF LYMPH FLOW

  29. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE

  30. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE

  31. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE Lymph nodes located lateral to or below the lower border of the pectoralis minor muscle are referred to as LEVEL I LYMPH NODES which include the axillary vein, external mammary, and scapular groups.

  32. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE Lymph nodes located superficial or deep to the pectoralis minor muscle are referred to as LEVEL II LYMPH NODES which include the central and interpectoral groups.

  33. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE Lymph nodes located medial to or above the upper border of the pectoralis minor muscle are referred to as LEVEL III LYMPH NODES which consist of the subclavicular group

  34. THE LYMPH NODE GROUPS LEVELS ACCORDING TO THEIR ANATOMIC RELATIONSHIP TO THE PECTORALIS MINOR MUSCLE

  35. TOPOGRAPHY

  36. TOPOGRAPHY

  37. BREAST LUMP

  38. BREAST LUMP KEY POINTS

  39. BREAST LUMP KEY POINTS • The commonest breast lumps occurring under the age of 35 years are fibroadenomas and fibrocysticdisease.

  40. BREAST LUMP KEY POINTS • The commonest breast lumps occurring under the age of 35 years are fibroadenomas and fibrocysticdisease. • The commonest breast lumps occurring over the age of 50 years are carcinomas and cysts.

  41. BREAST LUMP KEY POINTS • The commonest breast lumps occurring under the age of 35 years are fibroadenomas and fibrocysticdisease. • The commonest breast lumps occurring over the age of 50 years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than tumours.

  42. BREAST LUMP KEY POINTS • The commonest breast lumps occurring under the age of 35 years are fibroadenomas and fibrocysticdisease. • The commonest breast lumps occurring over the age of 50 years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than tumours. • Skin/chest wall tethering is more characteristic of tumours than benign disease.

  43. BREAST LUMP KEY POINTS • The commonest breast lumps occurring under the age of 35 years are fibroadenomas and fibrocysticdisease. • The commonest breast lumps occurring over the age of 50 years are carcinomas and cysts. • Pain is more characteristic of infection/inflammation than tumours. • Skin/chest wall tethering is more characteristic of tumours than benign disease. • Multiple lesions are usually benign (cysts or fibrocystic disease).

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