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`+++