ABSTRACT
Cholesterol granuloma of the breast is a rare benign condition. It is often clinically and radiologically indistinguishable from breast carcinoma. A case of cholesterol granuloma which manifested as an intracystic papilloma on ultrasound is described. This unusual ultrasonographic appearance has not previously been reported.
Subject(s)
Adenoma/diagnostic imaging , Breast Diseases/diagnostic imaging , Cholesterol , Granuloma, Foreign-Body/diagnostic imaging , Papilloma/diagnostic imaging , Breast Neoplasms/diagnostic imaging , Diagnosis, Differential , Female , Humans , Mammography , Middle Aged , UltrasonographyABSTRACT
As part of the Department of Health's National Breast Screening Trial a seven year study is in progress in Huddersfield to assess the effect of an educational programme in Breast Self Examination (BSE) on the mortality due to breast cancer among women aged 45-64. The initial cohort of 22,484 women have completed 3 years in the study and show a higher than expected annual incidence rate of breast cancer. There is no significant difference in the incidence rates between those who attended meetings for BSE instruction and those who did not. Similarly there is no difference in stages of presentation of cancers between attenders and non-attenders at these meetings and also between cancers detected in the first, second and third years. Those who discovered abnormalities during self examination, however, presented with smaller lumps compared to other women. Assessment of prognostic factors do not at this time provide sufficient evidence to show that a community-base BSE campaign will result in a significant improvement in the stage of breast cancer presentation.
Subject(s)
Breast Neoplasms/diagnosis , Palpation , Self Care , Breast Neoplasms/epidemiology , Breast Neoplasms/pathology , England , Female , Health Education , Humans , Middle Aged , Neoplasm Staging , Patient Acceptance of Health Care , Prospective StudiesABSTRACT
In the Huddersfield district many people have been exposed to industrial carcinogens as a result of their occupation. An exfoliative urine cytology screening programme has been in operation for many years so that patients with the early changes associated with these carcinogens are referred for urological investigation at a very early stage in the disease. A description of the development of urothelial dysplasia, carcinoma in situ and transitional cell carcinoma is presented with particular reference to the urine cytology, histological features of mucosal biopsies and cystoscopic appearances of the bladder. Changes in the collagen fibres in the basement membrane are also described.
