青年教师技能大赛（14页）.pptxVIP

乳 房 疾 病 忻 莹 乳腺甲状腺外科 杭州医学院附属浙江省人民医院 1 乳房解剖 、生理 、功能 2 乳房 、腋窝查体 5 常见乳房疾病 3 乳房与艺术 4 辅助检查 Breast cancer and Art ➢ Bathsheba Bathing by Rembrandt Harmensz van Rijn (1606- 1669) ➢《沐浴的芭特叶巴》 ， 伦勃朗 ➢ La Notte by Michelangelo di Lodovico Buonarroti Simon i (1475- 1564) ➢《夜》 ， 米开朗基罗 , Breast Cancer and Art ➢ The Madonna Delivers Milan From the Plague by II Cerano (1573 – 1632) ➢《麦当娜在瘟疫中诞下米兰》 ， 切拉诺 ➢ La Fornar ina by Raffaello Sanzio of Urbino (1483 – 1520) ➢《弗马里娜》 ， 拉斐尔 Anatomy ➢ LN , lobe , lobule , duct , gland , n ipple ➢ skin ulceration ➢ axillary lymph node enlargement ➢ n ipple discharge retraction ➢ shape change Clinical manifestation ➢ dimpling sign ➢ orange-peel sign ➢ lump trauma, lactation, anatomy defect rare, often not primary. periodic pain. fibroadenoma, phylloides, cyst, lipoma, e Differential Diagnosis □ French surgeon Barthélémy Cabro l. □ to remove the underlying chest muscles+breast. □ William Halsted , U.S □ radical mastectomy :breast+ pectoralis major/minor muscles +ALD □ bones of a woman, showing the deformations of metastatic breast cancer . A tumor through time □ Robert Egan , an X-ray examination to detect breast tumours. □ 1970s, mammography. □ tamoxifen approved in the United States as a treatment for advanced metastatic breast cancer. A tumor through time □ surgery combined with chemotherapy works better ■ docummentary： PE， DDx ， plan ■ surgical technique : suture, dressing change ■ to take care of your patient : physical, psychological Let Your Patient Be Your Artwork Breast-conserving radical resect with omen tum reconstruction Cosmetic outcome after surgery Do You Agree It Is Art? ➢ Targeted Intraoperative Radiotherapy ➢Art and Art Images in Research competition organ ised by Un iversity Co llege London , UK ➢tailed treatments , more precise , less side effects Prospects xinyin163.com