University of Connecticut Health Center Dermatology Department, Farmington, Connecticut.
University of Connecticut Health Center Cancer Center, University of Connecticut, Farmington, Connecticut.
J Am Acad Dermatol. 2019 Jun;80(6):1467-1481. doi: 10.1016/j.jaad.2018.08.066. Epub 2018 Nov 16.
The evaluation and management of dermatologic diseases of the breast and nipple requires an understanding of the unique anatomy of the breast and nipple and an awareness of the significant emotional, cultural, and sexual considerations that may come into play when treating this anatomic area. The first article in this continuing medical education series reviews breast anatomy, congenital breast anomalies, and benign and malignant breast tumors. An emphasis is placed on inflammatory breast cancer and breast cancer with noninflammatory skin involvement and on cutaneous metastases to the breast and from breast cancer. Familiarity of the dermatologist with the cutaneous manifestations of breast cancer will facilitate the diagnosis of breast malignancy and assist with staging, prognostication, and evaluation for recurrence. This article also discusses genodermatoses that predispose to breast pathology and provides imaging recommendations for evaluating a palpable breast mass.
乳房和乳头皮肤疾病的评估和管理需要了解乳房和乳头的独特解剖结构，并意识到在治疗这个解剖区域时可能会涉及到重要的情感、文化和性考虑因素。本继续教育系列的第一篇文章回顾了乳房解剖、先天性乳房异常以及良性和恶性乳房肿瘤。重点介绍了炎症性乳腺癌和非炎症性皮肤受累的乳腺癌，以及乳房和乳腺癌的皮肤转移。皮肤科医生对乳腺癌的皮肤表现的熟悉将有助于诊断乳腺癌，并有助于分期、预后和评估复发。本文还讨论了易患乳房病变的遗传性皮肤病，并为评估可触及乳房肿块提供了影像学建议。
