SURGERY DEPARTMENT FACULTY OF MEDICINE YARSI

UNIVERSITY JAKARTA 2012

ANATOMY

- Puberty

- Young adult

- Capsulated

- Not related to menstruation

Physical Examination

MassCapsulatedMobileClear marginSingle, multipleUnilateral, bilateralSmooth surface

Therapy

ObservationExtirpation/excision/lumpectomy

sent to Pathologic dept

2. GIANT FAMGIANT FIBROADENOMA

PHYLLODES TUMORPHYLLOIDES TUMOR

CYSTOSARCOMA PHYLLODES TUMORCYSTOSARCOMA PHYLLODES TUMOR

GIANT FAMMore than 5 cm Growing fast

Phyllodes tumorGrowing fastIncidence 30-40 yo, older than FAMBut can occur at any age above

12yo1-2% from Ca mammae

Variant BenignBorderlineMalignant

BiopsyFNAB

Imaging USGMammographyMRI

TreatmentLumpectomy Wide local excision

1-2 cm margin from tumor BCT

Mastectomy

Not effective Radiation therapy Chemotherapy Hormonal therapy

PrognosisHigh local recurrentDistant metastasesInfiltration to surrounding tissues

Follow upFrequentEvery month, 6 month, year, 3 yearDepend on type

3. MastopathyFibrocystic mastopathyMastitis chronica cysticaFibrocystic disease of the breastMammary dysplasiaFibroslerosis of the breast

30-60 % womenBreast lumpDiscomfort periodicallyHormonal?

Not classic form of mastitis (inflammation)Not a disease?

Fibrous tissue, a lump, cobblestoneSmall cystsUpper outer quadrant

Breast feeding

Hormonal level?Subside after menopause

Estrogen Progesterone Prolactine

USGMammographyBiopsy

PA

4. Mastitis infection

4. Abses Mammae

Resiko

TerapiDrainase abses

GINECOMASTIA

ESTROGEN

MedicationSpironolactoneFurosemidDigoxin

MAMMAE ABERANS

Polithelia

SADARI