By Ismail Jatoi; M Kaufmann; Jean Y Petit
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Extra resources for Atlas of breast surgery
33. Ductal carcinoma in situ (DCIS) visualized on ductoscopy Fig. 34. 1 Cyst Aspiration tained on aspiration, then there is no need to send it for cytological evaluation. Cytology is necessary only if bloody fluid is obtained on aspiration. If a cyst is noted on ultrasound but is not palpable, then ultrasound-guided needle aspiration might be indicated. Again, the skin surface is cleansed with rubbing alcohol. The ultrasound probe is held with one hand, identifying the cyst. The syringe is held with the other hand, and the cyst aspirated.
1 4 a b Fig. 1a, b. 2 Excision of Intraductal Papilloma The galactography in Fig. 2 depicts an intraductal papilloma, the most common cause of bloody nipple discharge arising from a single duct. Generally, these Fig. 2. Galactography of an intraductal papilloma Chapter 4 patients are managed conservatively, the papilloma sloughs off, and the bloody discharge usually resolves spontaneously over a period of several weeks. If this does not occur, then excision of the involved duct might be indicated.
Two separate incisions are required: one to remove the primary breast tumor, and the other to remove the axillary contents. When performing breast-conserving surgery, there are various forms of incisions that can be made to remove the primary breast tumor, and these are illustrated. Quadrantectomy (Fig. 3d) involves removal of the entire quadrant of the breast containing the tumor, and this is done through a curvilinear incision, as illustrated. A segmental excision or lumpectomy (Fig. 3e) is performed using a curvilinear incision along a natural skin crease (line of Langer), placed over the tumor.
Atlas of breast surgery by Ismail Jatoi; M Kaufmann; Jean Y Petit