Breast Lump

Beschreibung

Mindmap am Breast Lump, erstellt von Salma Moustafa am 25/02/2019.
Salma Moustafa
Mindmap von Salma Moustafa, aktualisiert more than 1 year ago
Salma Moustafa
Erstellt von Salma Moustafa vor mehr als 5 Jahre
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Zusammenfassung der Ressource

Breast Lump
  1. Anatomy of the breast
    1. functional unit
      1. duct-lobular unit
      2. lies on
        1. serratis anterior
          1. pectoralis major
            1. external oblique
          2. Development of the breast
            1. prenatal
              1. starts at day 35 gestation
                1. formation of mammary line
                2. 6 months
                  1. breast framework
                3. infant
                  1. areola pigmented
                    1. nipple projects from growth of underlying mesoderm
                    2. puberty till adulthood
                      1. TANNER STAGES
                    3. Breast Cancer
                      1. Genetics
                        1. Subtypes
                          1. Luminal A
                            1. ER+
                              1. SERMs
                            2. Luminal B
                              1. ER+ Her2+
                              2. Her 2+
                                1. ER -ve, Her 2+
                                  1. trastuzumab
                                2. Basal like
                                  1. ER-, HER2-
                                    1. chemotherapy
                              3. Risk factors
                                1. BRCA-1 and BRCA-2
                                  1. increased oestrogen exposure
                                    1. age at first birth
                                      1. early menarche, late menopause
                                        1. obesity
                                        2. non-invasive
                                          1. ductal carcinoma in situ
                                            1. malignant proliferation of ductal cells
                                              1. doesn't cross BM
                                              2. comedocarcinoma
                                                1. central necrosis and calcification
                                                2. paget disease
                                                  1. intraepithelial adenocarcinoma
                                                    1. eczematous lesion on nipple
                                                  2. invasive
                                                    1. ductal carcinoma
                                                      1. DCIS crosses BM
                                                        1. nipple retraction
                                                          1. skin dimpling
                                                          2. lobular carcinoma
                                                            1. single sheet of cells
                                                              1. decreased E-cadherin expression
                                                              2. medullary carcinoma
                                                                1. fleshy, cellular,lymphocytic infiltrate
                                                                2. inflammatory
                                                                  1. lymphatic invasion and blockage
                                                                    1. p'eau d'orange
                                                                3. screening
                                                                  1. mammogram
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