Breast Care

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.

1 Breast Disease for Primary Health Care Providers for Women: An Overview.- 2 Application of Evidence-Based Medicine to the Care of the Breast.- 3 Development and Growth of the Breast.- 4 Breast Examination.- 5 Screening Mammography.- 6 Mammography in a Breast Center.- 7 Practical Diagnostic Breast Ultrasonography.- 8 Fine-Needle Aspiration at the Breast Diagnostic Center.- 9 Aspiration Cytology of Breast Cancer: Development and Acceptance as a Diagnostic Procedure.- 10 Fine-Needle Aspiration Cytology of the Breast.- 11 Pathology of the Female Breast.- 12 Biopsy of Benign Masses by Obstetrician-Gynecologists in the Breast Diagnostic Center.- 13 Excision of a Palpable Breast Mass in Private Primary Care Practice.- 14 Evaluation of a Palpable Dominant Mass, Solid or Cyst.- 15 Mastalgia.- 16 Nipple Discharge.- 17 Galactorrhea.- 18 Mastitis.- 19 Fibrocystic Changes.- 20 Fibroadenoma.- 21 Multidisciplinary Treatment Planning and Patient Counseling.- 22 Surgery for Breast Cancer.- 23 Adjunctive Systemic Therapy for Breast Cancer.- 24 Surveillance of Women on Tamoxifen.- 25 Breast Radiation Therapy.- 26 Reconstruction of the Breast After Cancer Surgery: Overview.- 27 Plastic Surgery for Common Breast Problems.- 28 Breast Cancer Hereditary Risk Assessment and Counseling Services.- 29 Breast Cancer and Exogenous Estrogen in Oral Contraceptives and Postmenopausal Hormone Replacement.- 30 Social Work Perspective and Psychosocial Resources.- 31 Breast Care: A Psychosocial View.- 32 Modern Treatment of Lymphedema.- 33 Pregnancy Before, During, and After Breast Cancer.- 34 Breast Problems Specific to Pregnancy and the Peripartum Period.- 35 Breastfeeding and Lactation.- 36 Medical Legal Considerations for the Primary Care Physician Regarding Care of the Breast.- 37 The Breast Diagnostic Center: Experience and Protocols.- 38 Breast Care and Surgery by Obstetrician/Gynecologists in a Rural Setting.- 39 Breast Care by Primary Care Providers in Rural Areas.- 40 Alternative and Complementary Therapies for Breast Problems.- 41 Natural History of Breast Cancer: Clinical and Biologic Features Dictating Management; An Opinion Based on Personal Experience.- Appendix A: Organization of the Breast Diagnostic Center Department of Obstetrics and Gynecology.- Appendix B: Reporting System.- Appendix C: Breast Cancer Staging.- Appendix D: Glossary of Abbreviations and Signs.- Appendix E: Glossary of Definitions of Terms as Used in This Text.