Atlas of Breast Surgery阿特拉斯乳腺癌手术.pdf
Atlas of Breast Surgery阿特拉斯乳腺癌手术.pdf
Ismail Jatoi
Manfred Kaufmann
Jean Y. Petit
Atlas of Breast Surgery
Illustrator
Hans J. Schütze
Ismail Jatoi
Manfred Kaufmann
Jean Y. Petit
Atlas of Breast Surgery
With 132 Figures
Library of Congress Control Number: 2005924216
ISBN-10 3-540-24351-8 Springer Berlin Heidelberg New York
ISBN-13 978-3-540-24351-9 Springer Berlin Heidelberg New York
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Editor: Gabriele Schröder, Heidelberg, Germany
Desk Editor: Stephanie Benko, Heidelberg, Germany
Production: ProEdit GmbH, 69126 Heidelberg, Germany
Cover: Frido Steinen-Broo, EStudio, Calamar, Spain
Typesetting: K. Detzner, 67346 Speyer, Germany
Printed on acid-free paper 24/3151 ML 5 4 3 2 1 0
Ismail Jatoi M.D., Ph.D., F.A.C.S.
Uniformed Services
University of the Health Sciences
4301 Jones Bridge Road
Bethesda, Maryland 20814
USA
Professor Manfred Kaufmann M.D.
Klinik für Geburtshilfe und Gynäkologie
J.W. Goethe-Universität
Theodor-Stern-Kai 7
60590 Frankfurt
Germany
Jean Y. Petit M.D.
Istituto Europeo Di Oncologia
Via Ripamonti 435
20141 Milan
Italy
Contents
Chapter 1
Historical Overview of Breast Surgery
Chapter 2
Anatomy
2.1 Surface Anatomy of the Breast . . . . . 7
2.2 Breast Development . . . . . . . . . . . 8
2.3 Organization of the Ductal-Lobular
System and its Diseases . . . . . . . . . 10
2.4 Blood Supply of the Breast . . . . . . . 11
2.5 Anatomy of the Axilla . . . . . . . . . . 12
2.6 Latissimus Dorsi Muscle
and Related Muscles . . . . . . . . . . 13
2.7 Anterior View of Latissimus Dorsi
Muscle and Blood Supply
(Pectoralis Major Muscle Removed) . . 14
2.8 Anterior Abdominal Wall
and Blood Supply . . . . . . . . . . . . 15
Chapter 3
Diagnostic Procedures
3.1 Fine Needle Aspiration . . . . . . . . . 19
3.2 Core Needle Biopsy . . . . . . . . . . . 22
3.3 Overview of Biopsy Techniques . . . . 30
3.4 Needle-Localized Biopsy . . . . . . . . 33
3.5 Microductectomy . . . . . . . . . . . . 37
3.6 Subareolar Dissection . . . . . . . . . . 39
3.7 Mammary Ductoscopy . . . . . . . . . 40
Chapter 4
Surgery for Benign Breast Diseases
4.1 Cyst Aspiration . . . . . . . . . . . . . 43
4.2 Excision of Intraductal Papilloma . . . 45
4.3 Excision of Giant Fibroadenoma . . . . 46
4.4 Drainage of a Breast Abscess . . . . . . 47
4.5 Surgical Management of Gynecomastia 50
Chapter 5
Biopsy Procedures
5.1 Incision Lines for Excisional Biopsy . . 55
5.2 Variants of Incisions and Extent
of Breast Cancer Surgery . . . . . . . . 57
5.3 Lumpectomy (Wide Excision) . . . . . 59
5.4 Specimen Management
for the Pathologist . . . . . . . . . . . 60
Chapter 6
Surgery for Breast Carcinoma
6.1 Modified Radical Mastectomy . . . . . 61
6.2 Simple Mastectomy . . . . . . . . . . . 67
6.3 Breast-Conserving Cancer Surgery . . . 67
6.4 Axillary Lymph Node Dissection
(Level I, Level II, Level III) . . . . . . . 78
6.5 Sentinel Lymph Node Biopsy . . . . . . 81
6.6 Internal Mammary Node Biopsy . . . . 83
6.7 Venous Access for Chemotherapy . . . 83
References . . . . . . . . . . . . . . . . 84
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