乳腺癌的诊断技术课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,Breast Cancer,Breast Cancer,ANATOMY,ANATOMY,2,3,ANATOMY,3ANATOMY,3,4,ANATOMY,nipple,areola of breast,skin,lactiferous sinuses,lactiferous ducts,lobules of,mammary gland,4ANATOMYnippleareola of breast,4,5,ANATOMY,Three important lymph nodes extension ways:,Central axillary group,Intrepectoral nodes and internal mammary nodes,Subclavicual group,5ANATOMYThree important lymph,5,6,PHYSICAL EXAMINATION,Breast examination should be done in a well-lighted room(available indirect light).,visual,inspection,Palpation,6PHYSICAL EXAMINATION Breast e,6,7,PHYSICAL EXAMINATION,Breast examination should be done in a well-lighted room(available indirect light).,palpation,palpation,7PHYSICAL EXAMINATION Breast e,7,8,PHYSICAL EXAMINATION,Breast examination should be done in a well-lighted room(available indirect light).,palpation,Points for attention:,breast skin,nipple,areola of breast,masses,nodes,8PHYSICAL EXAMINATION Breast e,8,9,PHYSICAL EXAMINATION,Breast examination should be done in a well-lighted room(available indirect light).,nipple,discharge,nipple,retraction,9PHYSICAL EXAMINATION Breast e,9,10,Diagnostic techniques,Breast imaging,Radiography with molybdenum target tube,Xeroradiography,Ultrasonic examination,Magnetic resonance imaging,Fine-needle aspiration,Core needle biopsy,Ductal endoscopy,10Diagnostic techniquesBreast,10,Breast imaging,ultrasound,MRI,mammography,Breast imagingultrasoundMRImam,11,BI-RADS Classification,BIRADS 0,:,incomplete,further imaging or information is required,pression,magnification,special mammographic views,ultrasound,this is also used when requesting previous images not available at the time of reading,BIRADS I,:negative,symmetrical and no masses,architectural disturbances or suspicious calcifications present,BIRADS II,:benign findings,interpreter may wish to describe a benign-appearing finding,calcified,fibroadenomas,multiple,secretory calcifications,fat containing lesions such as,oil cysts,breast lipomas,fibroadenolipoma,or mixed density,hamartomas,galactoceles,simple breast cysts,these all should have characteristic appearances,and may be labeled with confidence;the interpreter might wish to describe intra-mammary lymph nodes,implants,etc.while still concluding that there is no mammographic evidence suggesting malignancy,BIRADS III,:probably,benign,short interval follow-up suggested,BIRADS IV,:suspicious abnormality,there is a mammographic appearance which is suspicious for malignancy,biopsy should be considered for such a lesion,these can be further divided as,BIRADS IVa,:low level of suspicion for malignancy,BIRADS IVb,:intermediate suspicion for malignancy,BIRADS IVc,:moderate suspicion for malignancy,BIRADS V,:there is a mammographic appearance which is highly suggestive of malignancy,action should be taken,BIRADS VI,:known biopsy proven malignancy,BI-RADS ClassificationBIRADS 0,12,Treatment and prognosis of differentBI-RADS Classification,Risk of cancer:,BIRADS III:2%,BIRADS IV:30%,BIRADS V:95%,Treatment and prognosis of dif,13,14,BREAST CANCER,the No 1.malignant tumors of the women in plenty of cities,about 1,200,000 women suffer form breast cancer and about 500,000 women die per year in the world,14BREAST CANCERthe No 1.malig,14,15,BREAST CANCER,no clear and definite.,refers to estrogen,progesterone,adrenal,et al.,familiars in mid/old female(45-50y).,the age of the first menstrual,diet habit,genetics,Aetiology,15BREAST CANCERno clear and de,15,Dalian Medical Universty,16,18-11月-24,BREAST CANCER,Risk Factors for Breast,Cancer,Major,Minor,Gender(female,male),Early menarche,Age,Late menopause,Family history,Obesity,Personal history of contra-lateral B.C,Low-dose radiation,Noninvasive carcinoma,Benign proliferative changes with atypia,Dalian Medical Universty1613-9,Dalian Medical Universty,17,18-11月-24,BREAST CANCER,noninvasive carcinoma,intraductal carcinoma,lobular carcinoma,in suit,early invasive carcinoma,invasive ductal carcinoma,invasive lobular carcinoma,Pathology,Types,Dalian Medical Universty1713-9,17,18,BREAST CANCER,invasive peculiar carcinoma,papillary carcinoma,medullary carcinoma,adenoid cystic carcinoma,et al.,invasive no peculiar carcinoma,others rare carcinoma,Pathology,Types,18BREAST CANCERinvasive peculi,18,Dalian Medical Universty,19,18-11月-24,Breast cancer cell,Dalian Medical Universty1913-9,19,20,BREAST CANCER,regional diffusion,through ductal and interval,nodes metastases,central axillary group,intrepectoral nodes and internal mammary nodes,subclavicual group,blood circulation metastases,Metastases,Ways,20BREAST CANCERregional diffus,20,Dalian Medical Universty,21,18-11月-24,BREAST CANCER,early stage:no pain,little masses,et al.,Clinic Presentations,dimple in the skin,peau dorange,Dalian Medical Universty2113-9,21,22,BREAST CANCER,Clinic,Presentations,later stage,22BREAST CANCER Clinic Present,22,23,Clinic Presentations,later stage,BREAST,CANCER,23Clinic Presentationslater st,23,24,BREAST CANCER,later stage,metastases