breast cancer

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breast cancer by Mind Map: breast cancer

1. ant

2. axillary 80%

2.1. post

2.2. lat

2.3. interpectoral (roters LN)

2.3.1. retrograde spread

3. worst prognosis

4. orange

5. upper outer mc

6. fungation

7. location

7.1. apical

8. nipple

8.1. retraction

8.1.1. circumferential

8.1.1.1. congenital ?

8.1.2. slit like (longitudinal)

8.1.2.1. duct ectasia

8.2. discharge

9. skin

9.1. dimpling

9.2. ulcer

10. LN

10.1. internal mammary

11. local spread

11.1. pectoralis major

11.1.1. by restricted mobility

11.2. latissimus dorsi

11.2.1. pushing wall without any flexion inelbow

11.2.2. extending shoulder against wall

11.3. serratus anterior

11.4. chest wall

11.4.1. breast will not fall forward when leaning forward

11.4.2. breast will not move up on raising hand above shoulder

12. spread hematogenous

12.1. mc to bone(70%)

12.1.1. lumbar > femur > thoracic

12.1.2. both osteolytic and osteoblastic

12.2. lung

12.2.1. cause pleural effusion mc cause of death

12.3. liver brain

13. LN

13.1. level

13.1.1. 1

13.1.1.1. ant post lat

13.1.1.1.1. better prognosis

13.1.2. 2

13.1.2.1. central ; rotters

13.1.2.1.1. poor prognosis

13.1.3. 3

13.1.3.1. apical

13.1.3.1.1. level 1&2 drain finally to apical so level 3 means worst prognosis

13.1.3.1.2. central

13.2. level 1 & 2 commonly involved

14. transcoelomic spread

14.1. ovary

14.1.1. Krukenberg tumor

15. New Topic

16. New Topic