breast cancer
Door Himanshu Goyal
1. nipple
1.1. retraction
1.1.1. circumferential
1.1.1.1. congenital ?
1.1.2. slit like (longitudinal)
1.1.2.1. duct ectasia
1.2. discharge
2. local spread
2.1. pectoralis major
2.1.1. by restricted mobility
2.2. latissimus dorsi
2.2.1. pushing wall without any flexion inelbow
2.2.2. extending shoulder against wall
2.3. serratus anterior
2.4. chest wall
2.4.1. breast will not fall forward when leaning forward
2.4.2. breast will not move up on raising hand above shoulder
3. spread hematogenous
3.1. mc to bone(70%)
3.1.1. lumbar > femur > thoracic
3.1.2. both osteolytic and osteoblastic
3.2. lung
3.2.1. cause pleural effusion mc cause of death
3.3. liver brain
4. transcoelomic spread
4.1. ovary
4.1.1. Krukenberg tumor
5. New Topic
6. New Topic
7. ant
8. axillary 80%
8.1. post
8.2. lat
8.3. interpectoral (roters LN)
8.3.1. retrograde spread
9. worst prognosis
10. orange
11. upper outer mc
12. fungation
13. location
13.1. apical
14. skin
14.1. dimpling
14.2. ulcer
15. LN
15.1. internal mammary
16. LN
16.1. level
16.1.1. 1
16.1.1.1. ant post lat
16.1.1.1.1. better prognosis
16.1.2. 2
16.1.2.1. central ; rotters
16.1.2.1.1. poor prognosis
16.1.3. 3
16.1.3.1. apical
16.1.3.1.1. level 1&2 drain finally to apical so level 3 means worst prognosis
16.1.3.1.2. central