anatomy of Bresat and Clinicals

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2. HAIDER KHAN
ROLL # 289
First Year MBBS

3.  Surface Anatomy of anterior thoracic wall
 Thoracic Lines
 Breast Quadrants
 Anatomy of Breast ( structures )
 Arterial Supply of Breast
 Venous Drainage of Breast
 Lymphatic Drainage of Breast
Clinical
 Acknowledgment
 References

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6. i) Anterior median line
ii) Mid clavicular line
iii) Anterior axillary line
iv) Posterior axillary line
v) Mid axillary line

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8. A physician’s record might state, “ A hard irregular mass was
felt in the superior medial quardant of the breast at 2 O’clock
position, approx 2.5 cm from the margin of the areola”

9. STRUCTURES:

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16.  Polymastia
 Polythelia
 Amastia
Gynacomastia
Gynaconasia
Mastectomy

17.  CAUSES OF BREAST CANCER:
AGE
FAMILY HISTORY
GENDER
HARMONAL EFFECTS
LONG MENNSTRUAL CYCLE
PREGNANCY
BREAST FEEDING
DIET
GENETIC MUTATION

18. CLASSIFICATION
NON INVASIVE
I. DUCTUL CARCINOMA INSITU
II. LOBULAR CARCINOMA
INVASIVE
I. INVASIVE DUCTUL CARCINOMA >80 %
II. INVASIVE LOBULAR CARCINOMA 15%
III. MEDULLARY CARCINOMA
IV. COLLOID CARCINOMA
V. INFLIMATORY CARCINOMA

19. • LOCAL SPREAD ( into the chest wall)
• LYMPHATIC SPREAD
I. Axillary lymph nodes 70 %
II. Internal mammary lymph nodes
III. Supra clavicular lymph nodes
IV. Contra lateral lymph node
• HEMATOGENOUS SPREAD
I. Bone
II. Liver
III. Lungs
IV. Brain

20. I. CLINICAL FEATURES
Lump in breast, ulcerated,
Skin thickens around hair folicles
Blood stain discharge
Lymphadeopathy
Bony pain
Pleural effusion
Hemoptysis

21. VI. INVESTIGATIONS
1. For diagnosis of malegnancy.
Cut needle biopsy
Incisiosonal biopsy
2. Local extent of Diesease
Assesed by MRI
3. Lymph node involvement
Clinical judgement
Lymph node biopsy
4. Systemic spread
Pulmonary metastasis
X ray of chest
Liver and kidney ultrasound
Brain CT scan

22. I. STAGE 0
Surgery alone
II. STAGE 1 & 2
Surgery + chemotherapy +
radiotherapy + hormone therapy
III. STAGE I
Operable
Inoperable
IV. STAGE 4
Chemotherapy + radiotherapy + hormonal therapy +
mastectomy

23.  ALLAH ALMIGHTY
 MY PARENTS
FROF. DR. KHALID FAHEEM
SIR DR. MUJAHID AKBER
FACULTY
SYED KASHIF HUSSAIN, BASHARAT
, MUSTANSAR, MEHMOOD
MY FRIENDS

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iii. www.studentconsult.com

25. For your patience