Breast Care : A Clinical Guidebook for Women’s Primary Health Care Providers

Breast Care: A Clinical Guidebook for Women's Primary Health Care Providers presents the expertise and protocols of the renowned Breast Diagnostic Center at USC School of Medicine's Department of Obstetrics and Gynecology. A user-friendly reference for the primary care physician, this book details the management of both benign and malignant breast diseases. Topics include: \* the clinical examination and instruction for self-exam \* mammography for both screening and diagnosis, management of the abnormal mammogram \* lactation and breast feeding \* diagnosis and treatment of lumps, cysts, fibroadenomas \* fine-needle aspiration and ultrasound guided tissue core needle biopsy \* evaluation and management of mastalgia \* menstrual and hormonal therapy effects on the breast \* the cosmetically treated breast \* guidelines for follow-up and surveillance An important section on consultation and referrals reviews the roles of the radiologist, oncologist, and surgeon and provides the primary care physician with the information necessary to counsel the patient on the myriad aspects of multidisciplinary treatment planning. The text includes more than 100 illustrations and algorithms -- with 16 in color -- as well as "Practice Guides" which organize the key practice points, signs, and symptoms. This is a must-have handbook for all providers of health care to women. Front Matter....Pages i-xx Breast Disease for Primary Health Care Providers for Women: An Overview....Pages 1-19 Application of Evidence-Based Medicine to the Care of the Breast....Pages 20-27 Development and Growth of the Breast....Pages 28-39 Breast Examination....Pages 40-51 Screening Mammography....Pages 52-68 Mammography in a Breast Center....Pages 69-79 Practical Diagnostic Breast Ultrasonography....Pages 80-90 Fine-Needle Aspiration at the Breast Diagnostic Center....Pages 91-106 Aspiration Cytology of Breast Cancer: Development and Acceptance as a Diagnostic Procedure....Pages 107-108 Fine-Needle Aspiration Cytology of the Breast....Pages 109-123 Pathology of the Female Breast....Pages 124-134 Biopsy of Benign Breast Masses by Obstetrician-Gynecologists in the Breast Diagnostic Center....Pages 135-140 Excision of a Palpable Breast Mass in Private Primary Care Practice....Pages 141-147 Evaluation of a Palpable Dominant Mass, Solid or Cyst....Pages 148-151 Mastalgia....Pages 152-165 Nipple Discharge....Pages 166-170 Galactorrhea....Pages 171-176 Mastitis....Pages 177-185 Fibrocystic Changes....Pages 186-189 Fibroadenoma....Pages 190-193 Multidisciplinary Treatment Planning and Patient Counseling....Pages 194-205 Surgery for Breast Cancer....Pages 206-224 Adjunctive Systemic Therapy for Breast Cancer....Pages 225-239 Surveillance of Women on Tamoxifen....Pages 240-241 Breast Radiation Therapy....Pages 242-251 Reconstruction of the Breast after Cancer Surgery: Overview....Pages 252-261 Plastic Surgery for Common Breast Problems....Pages 262-269 Breast Cancer Hereditary Risk Assessment and Counseling Services....Pages 270-275 Breast Cancer and Exogenous Estrogen in Oral Contraceptives and Postmenopausal Hormone Replacement....Pages 276-290 Social Work Perspective and Psychosocial Resources....Pages 291-296 Breast Care: A Psychosocial View....Pages 297-307 Modern Treatment of Lymphedema....Pages 308-311 Pregnancy Before, During, and After Breast Cancer....Pages 312-321 Breast Problems Specific to Pregnancy and the Peripartum Period....Pages 322-326 Breastfeeding and Lactation....Pages 327-348 Medical Legal Considerations for the Primary Care Physician Regarding Care of the Breast....Pages 349-356 The Breast Diagnostic Center: Experience and Protocols....Pages 357-368 Breast Care and Surgery by Obstetrician/Gynecologists in a Rural Setting....Pages 369-375 Breast Care by Primary Care Providers in Rural Areas....Pages 376-380 Alternative and Complementary Therapies for Breast Problems....Pages 381-394 Natural History of Breast Cancer: Clinical and Biologic Features Dictating Management; An Opinion Based on Personal Experience....Pages 395-419 Back Matter....Pages 420-464 Presenting the expertise and protocols of the renowned Breast Diagnostic Center at USC School of Medicines Department of Obstetrics and Gynecology, this user-friendly reference for the primary care physician details the management of both benign and malignant breast diseases. An important section on consultation and referrals reviews the roles of the radiologist, oncologist, and surgeon and provides the primary care physician with the information necessary to counsel the patient on the myriad aspects of multidisciplinary treatment planning. The text includes more than 100 illustrations and algorithms, as well as'Practice Guides'which organise the key practice points, signs, and symptoms. A must-have handbook for all providers of health care to women.