This full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and  degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.

InhaltsangabePreface.- 1 The Breast Clinic: Clinician, Patient, Multidisciplinary Team, Clinical Record with Care Plan.- 2 The Asymptomatic Patient: Breast Feeding, Screening, High-Risk Patients.- 3 Clinical Examination: the Breast Examination, the Decision-Making Process, Preventing Mistakes, Ethical Aspects.- 4 Congenital Aberrations: Normal Development and Involution, Congenital Disorders.- 5 Imaging in Breast-Related Diseases: Mammography, Ultrasound, MRI.- 6 Tissue Diagnosis: Fine-Needle Aspiration Cytology, Core and Vacuum-Assisted Biopsy, Imaging-Guided Biopsy of Nonpalpable Breast Lesions.- 7 Breast Pain: Cyclical Mastalgia, Noncyclical Mastalgia.- 8 Breast Infections: Lactational Infections, Nonlactational Infections, Other Infections.- 9 Nipple Discharge: Types and Assessment, Treatment.- 10 Disorders of the Nipple and Areola: Nipple Inversion and MDAIDS, Erosive Adenomatosis.- 11 Benign Lumps: Definition, More Common Lumps, Unusual Lumps.- 12 Noninvasive Breast Cancer: Atypical Hyperplasia and High-Risk Lesions, Neoplasia In Situ.- 13 Invasive Breast Cancer: Classification, Staging, Cancer of Unknown Primary (CUP), Breast Cancer and Pregnancy, Paget's Disease.- 14 The Role of Surgery and Radiotherapy in Breast Disease: Surgery, Radiotherapy.- 15 The Role of Adjuvant Systemic Therapy: Chemotherapy, Endocrine Therapy, Biological Therapy, Other Therapies.- 16 Male Breast Disorders: Gynecomastia, Male Breast Cancer.- 17 Dermatological and Vascular Lesions.- Dermatological Lesion: Mondor's Syndrome.- 18 Follow-up: Care Plan, Oncological Aspects, Psychological Issues.- 19 Rehabilitation After Surgery: Early Postoperative Symptoms, Lymphedema, Persistent Symptoms.- 20. Appendix: Breast Cancer Prevention and Lifestyle Factors; Quality Indicators in Breast Cancer Care.

Hersteller:
Springer Verlag GmbH
juergen.hartmann@springer.com
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DE 69121 Heidelberg