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Review
. 2000 Sep 16;321(7262):689-93.
doi: 10.1136/bmj.321.7262.689.

ABC of breast diseases: screening for breast cancer

R W Blamey  1 , A R Wilson, J Patnick
Affiliations
Review

ABC of breast diseases: screening for breast cancer

R W Blamey et al. BMJ. .
No abstract available

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Figures

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Small carcinoma found on screening (arrow)
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Summary of 7-12 years' mortality data from randomised and case-control(*) studies of breast cancer screening. Points and lines represent absolute change in mortality and confidence interval
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Rates of interval cancer after a negative screen in women aged 50-69
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Discrete lesions identified on screening. Ultrasound of the lesion showed it to be benign
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Impalpable stellate lesion detected by screening. Lesion is either a radial scar or an invasive carcinoma, and so excision is required even if results of cytology or core biopsy are reported as benign
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Histology of radial scar
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Patient with a stellate lesion seen on mammography (left). Diagnostic work up included a magnification mammograph (top right). The lesion was investigated and found to be a cancer and then excised—specimen x ray showing complete excision (bottom right)
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Fine needle aspiration: performed freehand (left) and guided by ultrasound image (right)
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Fine needle aspiration: performed freehand (left) and guided by ultrasound image (right)
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A core biopsy low power (left), high power (right) showing an invasive lobular carcinoma
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A core biopsy low power (left), high power (right) showing an invasive lobular carcinoma
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Radiographs for stereotactic guided fine needle aspiration. Needle can be seen penetrating the lesion
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Mammogram after placement of hooked wire adjacent to mammographic lesion. Lateral (left) and craniocaudal (right) views
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Mammogram after placement of hooked wire adjacent to mammographic lesion. Lateral (left) and craniocaudal (right) views
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Cosmetic result of recent diagnostic excision biopsy—small scar and no loss of tissue
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Relation between node positivity and tumour size for screen detected and symptomatic breast cancers
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Specimen radiograph of therapeutic excision showing wide clearance margins around impalpable lesion. Ligaclips aid orientation—1 anterior, 2 medial, 3 inferior
See this image and copyright information in PMC