Benign Disorders and Diseases of the Breast

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Oaiiak Dbkmlk @msat`btsek` @msbesbs an pfb Dtbesp

D}ta}eoaspelridek

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Oaiiak Dbkmlk @msat`bts ek`

@msbesbs an pfb DtbespEdbttepmaks an Katieg @b~bgazibkp ek` Mk~agrpmak&EK@M-

desmo ztmkomzgbs

dbkmlk dtbesp `msat`bts ek` `msbesbs etb tbgepb` pa pfbkatieg ztaobssbs an tbzta`ropm~b gmnb ek` pa mk~agrpmak

pfbtb ms e szboptri an dtbesp oak`mpmaks pfep teklbsntai katieg pa `msat`bt pa `msbesb

bkoaizessbs egg eszbops an pfb dtbesp oak`mpmak'mkogr`mkl zepfalbkbsms ek` pfb `bltbb an edkatiegmp}

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EK@M Ogessmnmoepmak an Dbkmlk Dtbesp @msat`bts

Katieg @msat`bt @msbesb

Betg} tbzta`ropm~b }bets&elb 52 42-

Gadrget b~bgazibkp Nmdtae`bkaie Lmekp nmdtae`bkaie

_ptaieg `b~bgazibkp E`agbsobkp f}zbtptazf} Lmlekpaiespme

Kmzzgb b~btsmak Kmzzgb mk~btsmak _rdetbaget edsobss

Ieiiet} `rop nmsprge

Gepbt tbzta`ropm~b }bets

&elb 42 0:-

O}ogmoeg ofeklbs an

ibksptrepmak

O}ogmoeg iespeglme Mkoezeompepmkl iespeglme

Ka`rgetmp}

Bzmpfbgmeg f}zbtzgesme an ztblkeko}

Dgaa`} kmzzgb `msofetlb

Mk~agrpmak &elb ?2 22- Gadrget mk~agrpmak Ieotao}sps

_ogbtasmkl gbsmaks

@rop mk~agrpmak

@mgepepmak @rop bopesme Zbtm`ropeg iespmpms

_ogbtasms Kmzzgb tbpteopmak

Bzmpfbgmeg prtka~bt Bzmpfbgmeg f}zbtzgesme Bzmpfbgmeg f}zbtzgesme|mpf ep}zme

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Edbttepmaks an Katieg @b~bgazibkpek` Mk~agrpmak &EK@M-

Betg} Tbzta`ropm~b ]bets

Gepbt Tbzta`ropm~b ]bets

Mk~agrpmak

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Betg} Tbzta`ropm~b ]bets

Nmdtae`bkaies etb sbbk mk }arklbt |aibkelb 52 pa 42 }bets

Lta| pa 5 at 4 oi mk `meibpbt ek` pfbk etbspedgb' drp ie} lta| pa e getlbt smxb

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Betg} Tbzta`ropm~b ]bets

_iegg nmdtae`bkaies &5 oi mk smxb at gbss- etboaksm`btb` katieg

Getlbt nmdtae`bkaies &rz pa ? oi- etb `msat bts

Lmekp nmdtae`bkaies &getlbt pfek ? oi- etb msbesb

Irgpmzgb nmdtae`bkaies &iatb pfek nm~b gbsmaks mk akbdtbesp- etb ~bt} rkoaiiak ek` etb oaksm`btb` `msbesb

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Betg} Tbzta`ropm~b ]bets

Kmzzgb mk~btsmak

e `msat`bt an `b~bgazibkp an pfb iehat `rops'|fmof ztb~bkps katieg ztaptrsmak an pfb kmzzgb

ztb`mszasbs pa iehat `rop adsptropmakgbe`mkl pa tborttbkp srdetbaget edsobss ek` ieiiet}`rop nmsprge

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Gepbt Tbzta`ropm~b ]bets

O}ogmoeg ztakarkob` iespeglme ek` sb~btb zemknrgka`rgetmp}

~mb|b` `mnnbtbkpg} pfek etb zf}smagalmo `msoainatp ek`grizmkbss

Zemknrg ka`rgetmp} pfep zbtsmsps nat iatb pfek 5 |bbcan pfb ibksptreg o}ogb ms oaksm`btb` e `msat`bt

Bzmpfbgmeg f}zbtzgesme an ztblkeko}' zezmgget}ztahbopmaks saibpmibs lm~b tmsb pa dmgepbtegdgaa`} kmzzgb `msofetlb

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Mk~agrpmak

Mk~agrpmak an gadrget bzmpfbgmri

`bzbk`bkp ak pfb szbomegmxb` sptaie etark` mp

kap eg|e}s sbbk ek` `msat`bts an pfb ztaobss etboaiiak

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Mk~agrpmak

\fbk pfb sptaie mk~agrpbs paa urmocg}' eg~bagmtbiemk ek` nati imotao}sps' |fmof etbztbortsats an ieotao}sps

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Mk~agrpmak

Ieotao}sps oaiiak

anpbk srdogmkmoeg mk keprtb `a kap tburmtb szbomnmo ptbepibkp

_ogbtasmkl e`bkasms oaksm`btb` e `msat`bt an dapf pfb ztagmnbtepm~b ek`

pfb mk~agrpmakeg zfesbs an pfb dtbesp o}ogb

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Mk~agrpmak

@rop bopesme &`mgepb` `rops- ek` zbtm`ropeg iespmpms etbapfbt mizatpekp oaizakbkps an pfb EK@M ogessmnmoepmak

Zbtm`ropeg nmdtasms sburbge an zbtm`ropeg iespmpms ie} tbsrgp mk kmzzgb tbpteopmak

Ep}zmoeg ztagmnbtepm~b msbesbs mkogr`b `ropeg ek`gadrget f}zbtzgesme dapf an |fmof `mszge} saib nbeprtbs an oetomkaie mk smpr

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Oekobt Tmsc Essaomepb` |mpf Dbkmlk Dtbesp @msat`bts ek` Mk_mpr Oetomkaie an pfb Dtbesp

Edkatiegmp} Tbgepm~b Tmsc

Kakztagmnbtepm~b gbsmaks an pfb dtbesp Ka mkotbesb` tmsc

_ogbtasmkl e`bkasms Ka mkotbesb` tmsc

Mkpte`ropeg zezmggaie Ka mkotbesb` tmsc

Ngatm` f}zbtzgesme 5+2 pa 4)nag`

Ep}zmoeg gadrget f}zbtzgesme 0)nag`

Ep}zmoeg ropeg f}zbtzgesme 0)nag`

@ropeg mk~ag~bibkp d} obggs an ep}zmoeg `ropegf}zbtzgesme

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Oaiiak Dbkmlk @msat`bts ek`@msbesbs an pfb Dtbesp

An zeteiarkp mizatpekob nat pfb azpmiegiekelbibkp an dbkmlk dtbesp `msat`bts ek``msbesbs

Ms pfb fmspagalmo `mnnbtbkpmepmak an dbkmlk' ep}zmoeg'ek` iegmlkekp ofeklbs

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Oaiiak Dbkmlk @msat`bts ek`@msbesbs an pfb Dtbesp

Ogessmnmoepmak s}spbi `b~bgazb` d} Zelbsbzetepbs pfb ~etmars p}zbs an dbkmlk dtbesp`msat`bts ek` `msbesbs mkpa pftbb ogmkmoegg}

tbgb~ekp ltarzs8

kakztagmnbtepm~b `msat bts

ztagmnbtepm~b `msbesbs |mpfarp ep}zme

ztagmnbtepm~b `msat`bts |mpf ep}zme

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Ogessmnmoepmak an Dbkmlk Dtbesp @msat`bts

Kakztagmnbtepm~b `msat`bts an pfb dtbesp

O}sps ek` ezaotmkb ibpezgesme@rop bopesmeOegomnmoepmaksNmdtae`bkaie ek` tbgepb` gbsmaks

Z tagmnbtepm~b dtbesp `msat`bts |mpfarp ep}zme

_ogbtasmkl e`bkasmsTe`meg ek` oaizgbv sogbtasmkl gbsmaks@ropeg bzmpfbgmeg f}zbtzgesmeMkpte`ropeg zezmggaies

Ep}zmoeg ztagmnbtepm~b gbsmaks

Ep}zmoeg gadrget f}zbtzgesme &EGF -Ep}zmoeg `ropeg f}zbtzgesme &E@F -

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

eooarkp nat

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Dtbesp ieotao}sps

mk~agrpmakeg `msat`bt

fmlf ntburbko} an aoorttbkob

anpbk irgpmzgb

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

@rop bopesme e ogmkmoeg s}k`taib

`bsotmdbs `mgepb` srdetbaget `rops pfep etbzegzedgb

anpbk essaomepb` |mpf pfmoc kmzzgb `msofetlb

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

@rop bopesme e ztmiet} b~bkp' |fmof gb` pa

spelkepmak an sbotbpmaks

bzmpfbgmeg rgobtepmak

gbecelb an `rop sbotbpmaks &oakpemkmkl ofbimoegg} mttmpekpnepp} eom`s- mkpa zbtm ropeg pmssrb

Pfms sburbkob |es pfarlfp pa zta`rob e gaoegmkngeiiepat} ztaobss |mpf zbtm`ropeg nmdtasms ek`

srdsburbkp kmzzgb tbpteopmak

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Zbtm`ropeg iespmpms

Ek egpbtkepm~b pfbat} oaksm`bts pa db pfb ztmiet}ztaobss' |fmof gbe`s pa

|becbkmkl an pfb `rops ek` sboak`et} `mgepepmak

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Mp ms zassmdgb pfep dapf ztaobssbs aoort ek`palbpfbt bvzgemk pfb |m`b szboptri an ztadgbissbbk' |fmof mkogr`b

kmzzgb `msofetlb

kmzzgb tbpteopmak

mkngeiiepat} iessbs

edsobssbs

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Oegomri `bzasmps

iasp etb dbkmlk

oersb` d} obggrget sbotbpmaks ek` `bdtms at d}pterie ek` mkngeiiepmak

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Oegomnmoepmaks pfep etb essaomepb` |mpf oekobtmkogr`b

Imotaoegomnmoepmaks

|fmof ~et} mk sfezb ek` `bksmp}

gbss pfek :+2 ii mk smxb

nmkb' gmkbet oegomnmoepmaks'ie} sfa| dtekofmkl

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Nmdtae`bkaies

edrk`ekp sptaie |mpf fmspagalmoegg} katiegobggrget bgbibkps

sfa| fatiakeg bzbk`bkob

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

E`bkaies an pfb dtbesp

|bgg omtorisotmdb`

oaizasb` an dbkmlk bzmpfbgmri |mpf szetsb sptaie'

pfb fmspagalmo nbeprtb pfep `mnnbtbkpmepbs pfbi ntainmdtae`bkaies

`m~m`b` mkpa prdrget e`bkaies ek` geopepmkle`bkaies

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

E`bkaies an pfb dtbesp

Prdrget e`bkaiesztbsbkp mk }arkl kakztblkekp |aibk

Geopepmkl e`bkaies

ztbsbkp `rtmkl ztblkeko} at `rtmkl pfb zaspzetprizbtma`

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

F eietpaies

`msotbpb dtbesp priats

rsregg} 4 pa 0 oi mk `meibpbt

nmti

sfetzg} omtorisotmdb`

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

E`bkagmzaies

omtorisotmdb` ka`rgbs an nepp} pmssrb

oakpemk katieg dtbesp gadrgbs ek` `rops

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Nmdtao}spmo @msbesb

Kakszbomnmo

ntburbkpg}' mp ms rsb` es e `melkaspmo pbti

pa `bsotmdb s}izpaispa tepmakegmxb pfb kbb` nat dtbesp dmazs}pa bvzgemk dmazs} tbsrgps

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Nmdtao}spmo @msbesb _}kak}is mkogr`b

nmdtao}spmo ofeklbs

o}spmo iespazepf}oftakmo o}spmo `msbesboftakmo o}spmo iespmpms_ofmiibgdrsof,s `msbesbIexazgesme

Oaazbt,s msbesbTbogrs, msbesbnmdtae`bkaiepasms

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Zepfagal} an Kakztagmnbtepm~b@msat`bts

Nmdtao}spmo @msbesb

tbnbts pa e szboptri an fmspazepfagalmo ofeklbspfep etb dbsp `melkasb` ek` ptbepb` szbomnmoegg}

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

_ogbtasmkl e`bkasms

ztb~egbkp `rtmkl pfb ofmg`dbetmkl ek` zbtmibkazerseg }bets

fes ka iegmlkekp zapbkpmeg

F mspagalmo ofeklbs etb dapfztagmnbtepm~b &`ropeg ztagmnbtepmak-mk~agrpmakeg &sptaieg nmdtasms' bzmpfbgmeg tbltbssmak- mk keprtb

ofeteopbtmxb` d} `mspatpb` dtbesp gadrgbs ek` rsregg} aoorts mkpfb oakpbvp an irgpmzgb imotao}sps' drp aooesmakegg} ztbsbkps ese zegzedgb iess

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Te`meg soets ek` oaizgbv sogbtasmkl gbsmaks an pfb dtbesp

Ms ofeteopbtmxb d}

obkpteg sogbtasms ek` ~et}mkl `bltbbs an bzmpfbgmegztagmnbtepmak

ezaotmkb ibpezgesme

zezmggaie natiepmak

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Te`meg soets

gbsmaks rz pa 5 oi mk `meibpbt

Oaizgbv sogbtasmkl gbsmaks

etb getlbt gbsmaks

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Img` `ropeg f}zbtzgesme

ztbsbkob an pftbb at nart obgg ge}bts eda~b pfbdesbibkp ibidtekb

Ia`btepb `ropeg f}zbtzgesme

ztbsbkob an nm~b at iatb obgg ge}bts eda~b pfbdesbibkp ibidtekb

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Ngatm` `ropeg bzmpfbgmeg f}zbtzgesme

aoorzmbs ep gbesp

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Mkpte`ropeg zezmggaies

etmsb mk pfb iehat `rops

rsregg} mk ztbibkazerseg |aibk

gbss pfek :+2 oi mk `meibpbt drp ie} db es getlb es 2oi

oaiiak ztbsbkpmkl s}izpai ms kmzzgb `msofetlbie} db sbtars at dgaa`}

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Mkpte`ropeg zezmggaies

Ltassg}zmkcmsf pek' ntmedgb' ek` etb rsregg} eppeofb` pa pfb |eggan pfb mk~ag~b` `rop d} e spegc

tetbg} rk`btla iegmlkekp pteksnatiepmak

ztbsbkob `abs kap mkotbesb e |aiek,s tmsc an `b~bgazmkl dtbesp oekobt

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Zepfagal} an Ztagmnbtepm~b @msat`bts\mpfarp Ep}zme

Irgpmzgb mkpte`ropeg zezmggaies

aoort mk }arklbt |aibk

gbss ntburbkpg} essaomepb` |mpf kmzzgb `msofetlb

srsobzpmdgb pa iegmlkekp pteksnatiepmak

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Zepfagal} an Ep}zmoeg Ztagmnbtepm~b@msbesbs

F e~b saib an pfb nbeprtbs an oetomkaie mk smpr&OM_- drp bmpfbt geoc e iehat `bnmkmkl nbeprtban OM_ at fe~b pfb nbeprtbs mk gbss pfek nrgg}`b~bgazb` nati

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Bk`+++