Korean J Obstet Gynecol.  2011 Feb;54(2):67-78. 10.5468/KJOG.2011.54.2.67.

The proper approaches for breast disease

Affiliations
  • 1Department of Obstetrics and Gynecology, Eulji University College of Medicine, Daejeon, Korea. ithwang@eulji.ac.kr

Abstract

The gynecologists are the primary care physician to women and the breast is an organ of reproduction and reproductive hormones are the most important factors for breast cancer. Therefore it seems logical to accept the position that diseases of the breast are the responsibility of the gynecologists. The breast examination is a part of the through gynecologic examination and the knowledge of the contemporary treatment of breast diseases is an essential components of the current practice of gynecology. In addition to history and physical examination, the gynecologist should be prepared to understand certain diagnostic studies. It seems a logical step that breast cancer patients will be treated by a multidisciplinary team, in which the gynecologist will also take part.

Keyword

Gynecologists; Reproductive factors; Breast diseases

MeSH Terms

Breast
Breast Diseases
Breast Neoplasms
Female
Gynecology
Humans
Logic
Physical Examination
Physicians, Primary Care
Reproduction

Figure

  • Fig. 1 Terminal duct lobular unit.

  • Fig. 2 Sonographic finding of normal breast anatomy.

  • Fig. 3 Investigation of nipple discharge. *Suspicious means discharge that is blood stained or contains moderate or large amounts of blood on testing, is associated with a mass, or is a new development in women older than age 50 and is not thick or cheesy (From Dixon MJ, Bundred NJ. Diagnosis and management of benign breast diseases. In: Harris JR, Lippman ME, Morrow M, et al, editors. Diseases of the breast. 2nd edition. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 48, with permission) [66].

  • Fig. 4 Diagnostic algorithm for patients with palpable breast masses (From Klein S. Am Fam Physician 2005;71:1731-8, with permission the American Academy of Family Physicians) [67].


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