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Mammography. Spring 2011. Mammography Facts. ____ in _____ women who live to _____ will develop breast cancer Most common malignancy in women, only lung cancer kills more women _______________________________________________
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Mammography Spring 2011
Mammography Facts • ____ in _____ women who live to _____ will develop breast cancer • Most common malignancy in women, only lung cancer kills more women • _______________________________________________ • Before Mammo fewer than_____ of pt’s survived ___years after diagnosis with a ________recurrence • With a radical mastectomy survival increased to______ with a _______________recurrence
Goal of Mammography • Detect cancer before it is ________________ • Early detection, __________________ and treatment is the key to a favorable ________________
How would your family feel with you missing from the family picture?
How would you feel about your father, brother or mother missing from the family picture?
Anatomy of the Breast • Vary in ________________ • Cone shaped with the post surface (base) overlying the _______& _______ muscles • Axillaries tail extends from ________ to ____________ • Tapers ant. from the base ending in ______________ surrounded by areola
Female Breast • Consists of _______ lobes • Divide into several lobules • Lobules contain _____ draining ducts and ______________ • By _______________ years each breast contains hundreds of lobules
Lymph Nodes • Lymphatic vessels of the breast drain laterally and medially • ______ into the axillary lymph nodes (C & D) • ______drain toward axilla • _________ into the mammary lymph nodes • _______toward mammary chain (F)
Fibro-glandular Breast • Fibro-glandular • Dense with very little fat • Females ___________ years of age • Or ______ years or older without children • __________________
Fibro-fatty Breast • ________________ • Average density • _______ fat & _______fibro-glandular • Women ________years of age • Or women with ________ or more children
Fatty Breast • Fatty • ____________ density • Women __________________ (postmenopausal), men and children
Ouch! Why Compression? • Two Reasons: • Decrease __________ of breast tissue • Reduce ____________
Complication with Breast Augmentation • Mammography has a__________ true positive rate for detecting breast cancer in those women without implants • Decreases to _________with implants • Because__________________ of breast tissue is obscured • More images are needed than the standard two projections • There is a risk of ______________________ the implant
Male Mammography • ___________ men get breast cancer per year • __________die • Most are _________________ years or older • Nearly all are primary tumors • Symptoms include: • ___________________ • ___________________ • ___________________ • ___________________
_______________________________ • Benign excessive development of male mammary gland • Occurs in ___________________ of male cancer pt’s • Survival rates with treatment are_______ for ___years
Advantages of Stereotactic • Procedure done in __________________________ • Approx. 1 hour long • ___________________________inch long incision • No _______________________________ needed • No general anesthesia • Less _____________________________ scarring • No recovery time
Contraindications • _________________________ near area of biopsy. • Breast lesion ____________________to chest wall. • Patient is on blood thinners such as ___________, ______, ________ which can result in hemorrhage . • Patient has medical condition in which they cannot lie prone for an hour or so.
Breast Specimen Radiography _______________ ______________________