譯者的話 Translators’ words 序 Foreword 前言 Preface 致謝 Acknowledgements 獻(xiàn)辭 Dedication Chapter 1 第一章 乳腺良性紊亂的概念和命名問題 Problems of concept and nomenclature of benign disorders of the breast 要點(diǎn)及新進(jìn)展 Key points and new developments 問題的來源 The source of the problem 歷史 History 現(xiàn)狀和展望 The present and the future 參考文獻(xiàn) References Chapter 2 第二章 良性乳腺疾病的歷史 History of benign breast disease 前言 Introduction Sir Astley Paston Cooper, Bt. FRS DCL GCH. 1768-1841 Alfred Velpeau. 1785-1867 John Birkett FRCS Fellow of the Linnean Society. 1815-1904 George Lenthal Cheatle. 1865-1951 Joseph Colt Bloodgood. 1867-1935 Charles F. Geschickter. 1901-? 對六位偉人貢獻(xiàn)的分析 An analysis of the contributions of these six men 參考文獻(xiàn) References Chapter 3 第三章 乳房的解剖和生理Breast anatomy and physiology 要點(diǎn)及新進(jìn)展 Key points and new developments 發(fā)育 Development 青春期改變 Changes at puberty 成人解剖 Adult anatomy 微觀解剖 Microscopic anatomy 乳腺上皮的生化調(diào)控 Biochemical control of breast epithelium 乳腺上皮的周期性變化 Cyclical changes in breast epithelium 妊娠期與哺乳期乳房的變化 Changes during pregnancy and lactation 絕經(jīng)后退化 Postmenopausal involution 參考文獻(xiàn) References Chapter 4 第四章 正常發(fā)育和退化過程中的失常(ANDI):乳腺良性病變的病因?qū)W概念 Aberrations of normal development and involution (ANDI): a concept of benign breast disorders based on pathogenesis 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 多數(shù)良性乳腺“疾病”正常狀態(tài)的識別 Recognition of the normality of much benign breast 'disease' 良性乳腺疾病傳統(tǒng)觀點(diǎn)存在的一些問題 Problems with the conventional view of benign breast disease ANDI概念下的生理過程 The physiological processes underlying the ANDI concept 基于發(fā)病機(jī)制的框架 A framework based on pathogenesis 將多種乳房良性紊亂列入ANDI范圍內(nèi)的原因 Reasons for including various benign breast disorders as part of ANDI ANDI概念擴(kuò)展至包括大多數(shù)乳腺良性紊亂? An extension of the concept of ANDI to include most benign breast disorders? 對于良性乳腺紊亂處理方法的啟示 Implications for the management of benign breast disorders 從失常到疾病? Aberration to disease? 與ANDI概念有關(guān)的新進(jìn)展 Recent developments having a bearing on the ANDI concept 參考文獻(xiàn) References Chapter 5 第五章 診斷和評估乳房腫塊的方法 The approach to diagnosis and assessment of breast lumps 要點(diǎn)及新進(jìn)展 Key points and new developments 第一部分:乳腺腫塊的鑒別診斷和臨床評估 Part 1: The differential diagnosis and clinical assessment of breast lumps 乳房腫塊的臨床評估 Clinical assessment of a breast lump 個體病變的特征 Features of individual lesions 良性乳房腫物評估和/或活檢后的隨訪 Follow-up after assessment and/or benign breast biopsy 活檢后復(fù)發(fā)腫塊的處理 Management of recurrent lumps following biopsy 不同生理時期的乳房腫塊 Breast masses related to different life periods 第二部分 三重評估法和乳腺門診的管理 Part 2: Triple assessment and organization of the breast clinic 細(xì)針抽吸細(xì)胞學(xué) Fine needle aspiration cytology 三重評估中的超聲檢查 Ultrasound in triple assessment 粗空芯針活檢 Wide-bore needle biopsy 麥默通或真空輔助活檢 Mammotome or vacuum-assisted biopsy 門診管理 Organization of clinics 醫(yī)療法律問題 Medico-legal issues 參考文獻(xiàn) References Chapter 6 第六章 乳腺影像學(xué)Imaging of the breast 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 乳腺密度 Breast density 乳腺X線照相 Mammography 乳腺超聲檢查 Breast ultrasound 乳腺磁共振成像 Breast magnetic resonance imaging 活檢技術(shù) Biopsy techniques 乳腺定位技術(shù) Breast localization techniques 參考文獻(xiàn) References Chapter 7 第七章 纖維腺瘤與相關(guān)腫瘤Fibroadenoma and related tumours 要點(diǎn)及新進(jìn)展 Key points and new developments 術(shù)語 Terminology 單純型纖維腺瘤 Fibroadenoma simplex 癌癥與纖維腺瘤 Cancer and fibroadenoma 多發(fā)纖維腺瘤 Multiple fibroadenomas 巨大纖維腺瘤 Giant fibroadenoma 葉狀腫瘤和葉狀肉瘤(葉狀囊肉瘤) Phyllodes tumour and phyllodes sarcoma (cystosarcoma phyllodes) 假性血管瘤樣增生 Pseudoangiomatous hyperplasia 參考文獻(xiàn) References Chapter 8 第八章 乳房疼痛和結(jié)節(jié)Breast pain and nodularity 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 歷史記載 Historical note 乳房疼痛的頻率 Frequency of breast pain 乳腺癌中的乳房疼痛 Mastalgia in breast cancer 分類 Classification 乳房疼痛和結(jié)節(jié)的病因?qū)W Aetiology of mastalgia and nodularity 乳房疼痛患者的治療 Management of patients with mastalgia 乳房疼痛的自然病程 Natural history of mastalgia 乳房疼痛患者的治療計劃 Plan of management for patients with mastalgia 絕經(jīng)后患者的乳房疼痛 Mastalgia in the postmenopausal patient 頑固性乳房疼痛的患者 Patients with refractory mastalgia 周期性乳房疼痛和經(jīng)前期綜合征的關(guān)系 The relationship of cyclical mastalgia to premenstrual stress 結(jié)論 Conclusion 參考文獻(xiàn) References Chapter 9 第九章 硬化性乳腺病,放射狀瘢痕及復(fù)雜性硬化性病變 Sclerosing adenosis, radial scar and complex sclerosing lesions 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 硬化性乳腺病 Sclerosing adenosis 放射狀瘢痕和復(fù)雜硬化性病變 Radial scar and complex sclerosing lesions 參考文獻(xiàn) References Chapter 10 第十章 乳腺囊腫Cysts of the breast 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 病理學(xué) Pathology 發(fā)病率 Incidence 發(fā)病機(jī)制與囊腫類型 Pathogenesis and cyst types 病因?qū)W Aetiology 臨床特征 Clinical features 年齡 Age 自然病程 Natural history 輔助檢查 Investigation 鑒別診斷 Differential diagnosis 治療 Management 積乳囊腫 Galactocele 大囊腫相關(guān)性乳頭狀瘤 Papillary tumours associated with macrocysts 參考文獻(xiàn) References Chapter 11 第十一章 導(dǎo)管擴(kuò)張癥/導(dǎo)管周圍乳腺炎綜合征 The duct ectasia/periductal mastitis complex 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 歷史回顧 Historical survey 導(dǎo)管擴(kuò)張癥/導(dǎo)管周圍乳腺炎的病理學(xué)和發(fā)病機(jī)制 Pathology and pathogenesis of duct ectasia/periductal mastitis 導(dǎo)管擴(kuò)張癥/導(dǎo)管周圍乳腺炎綜合征的發(fā)生 The development of the duct ectasia/periductal mastitis complex 導(dǎo)管擴(kuò)張癥/導(dǎo)管周圍乳腺炎的臨床表現(xiàn) The clinical spectrum of duct ectasia/periductal mastitis 導(dǎo)管周圍乳腺炎相關(guān)乳房腫物 Breast masses associated with periductal mastitis 導(dǎo)管擴(kuò)張/導(dǎo)管周圍乳腺炎的發(fā)病頻率 Frequency of duct ectasia/periductal mastitis 放射學(xué) Radiology 治療 Management 導(dǎo)管擴(kuò)張手術(shù)的影響和效果 The consequences and results of operations for duct ectasia 導(dǎo)管周圍乳腺炎術(shù)后復(fù)發(fā)性感染 Recurrent infection after surgery for periductal mastitis 參考文獻(xiàn) References Chapter 12 第十二章 乳頭及乳暈區(qū)病變Disorders of the nipple and areola 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 乳頭內(nèi)陷與回縮 Nipple inversion and retraction 乳頭皸裂 Cracked nipples 乳頭結(jié)痂 Nipple crusting 侵蝕性腺瘤病 Erosive adenomatosis 乳腺汗管瘤樣腺瘤 Syringomatous adenoma 結(jié)節(jié)性粘蛋白沉積癥 Nodular mucinosis 單純纖維上皮息肉 Simple fibroepithelial polyp 濕疹 Eczema 平滑肌瘤 Leiomyoma 外傷性損害 Traumatic lesions 乳頭疼痛 Nipple pain 乳頭疾病與HIV感染 Nipple disease and HIV infection 蒙哥馬利腺 Montgomery’s glands 乳頭皮脂腺囊腫 Sebaceous cyst of the nipple 病毒感染 Viral infections 乳暈區(qū)化膿性汗腺炎 Hidradenitis suppurativa of the areola 參考文獻(xiàn) References Chapter 13 第十三章 乳頭溢液Nipple discharge 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 定義 Definition 發(fā)病率 Incidence 溢液的特征和意義 Character and significance of discharge 乳頭溢液的潛在病理學(xué)改變Pathology underlying nipple discharge 評估 Assessment 治療 Management 參考文獻(xiàn) References Chapter 14 第十四章 乳房感染Infections of the breast 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 哺乳期乳房感染 Lactational breast infection 亞臨床性乳腺炎 Subclinical mastitis 非哺乳期乳房膿腫 Nonlactational breast abscess 免疫功能低下患者的感染 Infections in immunocompromised patients 醫(yī)源性感染 latrogenic abscess 特殊類型的乳房感染 Specific infections of the breast 相關(guān)組織的感染 Infections of associated structures 參考文獻(xiàn) References Chapter 15 第十五章 先天和發(fā)育紊亂Congenital and growth disorders 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 發(fā)育異常 Developmental anomalies 乳房提早發(fā)育 Premature breast development 乳房異常肥大 Hypertrophic abnormalities of the breast 哺乳后乳房過度退化 Excessive postlactational involution 遺傳性乳房異常 Genetic abnormalities involving the breast 外科治療 Surgical treatment 參考文獻(xiàn) References Chapter 16 第十六章 男性乳房疾病The male breast 要點(diǎn)及新進(jìn)展 Key points and new developments 男性乳房的發(fā)育 Development of the male breast 男性乳房發(fā)育癥 Gynaecomastia 其他男性乳腺疾病 Other male breast disease 參考文獻(xiàn) References Chapter 17 第十七章 其他病變Miscellaneous conditions 前言 Introduction 外傷 Trauma 脂肪壞死 Fat necrosis 石蠟瘤和硅膠反應(yīng) Paraffinoma and silicone reactions 脂肪瘤 Lipoma 錯構(gòu)瘤(腺脂瘤) Hamartoma (adenolipoma) 乳房水腫 Oedema of the breast 放療后的乳房 The post-irradiated breast 乳房纖維性疾病 Fibrous disease of the breast 纖維瘤?。ㄓ怖w維瘤) Fibromatosis (desmoid tumour) 結(jié)節(jié)性筋膜炎 Nodular fasciitis 糖尿病性乳腺病 Diabetic mastopathy 特發(fā)性肉芽腫性乳腺炎(非特異性肉芽腫) Idiopathic granulomatous mastitis (non-specific granulomatous disease) 類肉瘤 Sarcoid 淀粉樣變 Amyloid 血管性疾病 Blood vessels 動脈粥樣硬化和動脈瘤 Atherosclerosis and aneurysm 蒙道爾氏病 Mondor’s disease 梗塞 Infarction 皮膚相關(guān)病變 Skin-related conditions 乳房化膿性汗腺炎 Hidradenitis suppurativa of the breast 神經(jīng)源性腫瘤 Tumours of nerve origin 顆粒細(xì)胞瘤(成肌細(xì)胞瘤) Granular cell tumour (myoblastoma) 人為性乳腺疾病 Artefactual disease of the breast 異物 Foreign bodies 乳腺結(jié)石 Mammalithiasis 幻乳綜合征 Phantom breast syndrome 乳腺粘液囊腫樣病變 Mammary mucocele-like lesion 妊娠期乳腺腫瘤(泌乳腺瘤) Breast tumour of pregnancy (lactating adenoma) 乳腺膠原小體病 Collagenous spherulosis of the breast 女性中的男性乳房發(fā)育樣病變 Gynaecomastia-like lesions in women 參考文獻(xiàn) References Chapter 18 第十八章 手術(shù)Operations 前言 Introduction 門診的組織學(xué)診斷 Tissue diagnosis in the clinic 巨大纖維瘤和葉狀腫瘤的切除 Removal of giant fibroadenoma and phyllodes tumour 乳腺導(dǎo)管區(qū)域切除術(shù) Microdochectomy 乳腺導(dǎo)管瘺切除術(shù) Excision of mammary duct fistula 主導(dǎo)管切除術(shù) Major duct excision (Adair/Urban/Hadfield) 哺乳期乳腺膿腫的引流 Drainage of a lactational breast abscess 男性皮下乳腺切除術(shù) Subcutaneous mastectomy in male patients 女性皮下乳腺切除術(shù)或保留皮膚的乳房切除術(shù) Subcutaneous mastectomy or skin sparing mastectomy in women 乳頭內(nèi)陷的手術(shù)治療 Operations for inverted nipples 參考文獻(xiàn) References Chapter 19 第十九章 乳腺良性疾病的心理問題 Psychological aspects of benign breast disease 要點(diǎn)及新進(jìn)展 Key points and new developments 前言 Introduction 乳房問題的存在導(dǎo)致的心理問題 Psychological problems resulting from presenting with breast problems 心理異常是乳腺良性疾病的原因 Psychological abnormality as a cause of benign breast disease 參考文獻(xiàn) References Chapter 20 第二十章 風(fēng)險評估和干預(yù)措施Risk assessment and management 概要 Summary 乳腺癌 Breast cancer: the disease 乳腺癌基因 The breast cancer genes 結(jié)論 Conclusion 參考文獻(xiàn) References