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Grundlagen

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Mammadiagnostik
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Zusammenfassung

Die pubertäre Entwicklung der weiblichen Brust wird als Thelarche bezeichnet und steht unter dem Einfluss der weiblichen Sexualhormone. In Mitteleuropa setzt die Thelarche derzeit durchschnittlich mit 11 Jahren ein. Nach Tanner [1] durchläuft die physiologische Reifung 5 typische Stadien innerhalb eines Zeitraums von knapp 4 Jahren (⊡ Abb. 1.1, Tabelle 1.1). Durchaus physiologisch ist ein meist einseitiger — vorwiegend linksseitiger — Entwicklungsbeginn. Im weiteren Verlauf der Entwicklung gleicht sich die dadurch entstehende Seitendifferenz weitestgehend aus, wobei geringe persistierende Unterschiede bis etwa 50 g als physiologisch angesehen werden. Etwa im Alter von 17 Jahren ist die Entwicklung der reifen weiblichen Brust mit Erreichen des Tanner-Stadiums B5 abgeschlossen. In Einzelfällen kann auch im Erwachsenenalter die Knospenbrust, Tanner-Stadium B4, persistieren.

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Literatur

Literatur zu Kap. 1.1

  1. Marshall WA, Tanner JM (1969) Variations in the pattern of pubertal changes in girls. Arch Dis Child 44: 291

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 1.2

  1. Jojart G, Seres E (1994) Supernumerary nipples and renal abnormalities. Int Urol Nephrol 26: 141–144

    Article  PubMed  CAS  Google Scholar 

  2. Marshall MB, Moynihan JJ, Frost A, Evans SR (1994) Ectopic breast cancer: case report and literature review. Surg Oncol 3: 295–304

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 1.4

  1. Wolfe JN (1967) A study of breast parenchyma by mammography in the normal woman and those with benign and malignant disease of the breast. Radiology 89: 201

    Google Scholar 

  2. American College of Radiology (1998) The ACR breast imaging reporting and data system (BI-RADS`), 3rd edn. Reston, VA

    Google Scholar 

  3. Boyd NF, Byng JW, Jong RA et al. (1995) Quantitative classification of mammographic densities and breast cancer risk: Results from the Canadian breast cancer screening study. J Nat Cancer Inst 9: 670–675

    Article  Google Scholar 

  4. Sala E, Solomon L, Warren R et al. (2000) Size, node status and grade of breast tumors: Association with mammographic parenchymal patterns. Eur Radiol 10: 157–161

    Article  PubMed  CAS  Google Scholar 

  5. Baines CJ, Vidmar M, McKeown-Eyssen G, Tibshirani R (1997) Impact of menstrual phase on false-negative mammograms in the Canadian national breast screening study. Cancer 80: 720–724

    Article  PubMed  CAS  Google Scholar 

  6. Beckmann MW, Braendle W, Jackisch C et al. (1998) Arbeitstreffen »Mammographische Dichteveränderungen unter HRT« am 25.6.1998 in Bremen. Zentralbl Gynäkol 120: 524–525

    Google Scholar 

  7. Kavanagh AM, Mitchel H, Giles GG (2000) Hormone replacement therapy and accuracy of mammographic screening. Lancet 355: 270–274

    Article  PubMed  CAS  Google Scholar 

  8. Laya MB, Larson EB, Taplin SH, White E (1996) Effect of estrogen replacement therapy on the specificity and sensitivity of screening mammograhy. J Nat Cancer Inst 88: 643–649

    Article  PubMed  CAS  Google Scholar 

  9. Cohen MEL (1997) Effect of hormone replacement therapy on cancer detection by mammography. Lancet 394: 1624

    Article  Google Scholar 

  10. Rosenberg RD, Hunt WC, Williamson MR et al. (1998) Effects of age, breast density, ethnicity and estrogen replacement therapy on the sensitivity and cancer stage at diagnosis: review of 183.134 screening mammograms in Albuquerque, New Mexico. Radiology 209: 511–518

    PubMed  CAS  Google Scholar 

  11. Litherland JC, Stallard S, Hole D, Cordiner D (1999) The effect of hormone replacement therapy on the sensitivity of screening mammograms. Clin Radiol 54: 285–288

    Article  PubMed  CAS  Google Scholar 

  12. Séradour B, Estéve J, Heid P, Jacquemier J (1999) Hormone replacement therapy and screening mammography: analysis of the results of the du Rhöne programme. J Med Screen 6: 99102

    Google Scholar 

  13. Müller-Schimpfle M, Ohmenhäuser K, Claussen CD (1997) Einfluss von Alter und Menstruationszyklus auf Mammographie und MR-Mammographie. Radiologe 37: 718–725

    Article  PubMed  Google Scholar 

  14. Kuhl CK, Seibert C, Sommer T, Kreft B, Gieseke J, Schild HH (1995) Fokale und diffuse Läsionen in der dynamischen MR-Mammographie gesunder Probandinnen. RöFo 163: 219–224

    PubMed  CAS  Google Scholar 

Literatur zu Kap. 1.5

  1. Bock K, Duda VF, Schulz-Wendtland R, Ramaswamy A, Schmidt S, Schulz K-D (1999) Stellenwert apparativer Diagnostik bei Mammatumoren in Schwangerschaft und Stillzeit. Fortschr Röntgenstr 170 (Suppl 1): 182

    Google Scholar 

  2. Liberman L, Giess CS, Dershaw DD, Deutch BM, Petrek JA (1994) Imaging of pregnancy-associated breast cancer. Radiology 191: 245–248

    PubMed  CAS  Google Scholar 

  3. Parry RA, Glaze SA, Archer BR (1999) The AAPM/RSNA physics tutorial for residents.Typical patient radiation doses in diagnostic radiology. RadioGraphics 19: 1289–1302

    PubMed  CAS  Google Scholar 

  4. Hatziioannou KA, Psarrakos K, Molyvda-Athanasopoulou E et al. (2000) Dosimetric considerations in mammography. Eur Radiol 10: 1193–1196

    Article  PubMed  CAS  Google Scholar 

  5. Kopans DB (1998) Breast Imaging, 2nd ed. Lippincot-Raven Publishers, Philadelphia: 445–447

    Google Scholar 

  6. Novotny DB, Maygarden Si, Shermer RW, Frable WJ (1991) Fine needle aspiration of benign and malignant breast masses associated with pregnancy. Acta Cytol 15: 676–686

    Google Scholar 

  7. Mitre BK, Kanbour AI, Mauser N (1997) Fine needle aspiration biopsy of breast carcinoma in pregnancy and lactation. Acta Cytol 41: 1121–1130

    Article  PubMed  CAS  Google Scholar 

  8. Stevens K, Burrell HC, Evans Ai, Sibbering DM (1997) The ultrasound appearances of galactoceles. Br J Radiol 70: 239–241

    PubMed  CAS  Google Scholar 

  9. Bock K, Duda VF, Hadji P et al. (2001) Sonographische Variabilität laktierender Adenome am Beispiel von 4 langzeitüberwachten Fällen. Ultraschall in Med 22: 176–181

    Article  CAS  Google Scholar 

  10. Sumkin JH, Perrone AM, Harris KM, Nath ME, Amortegui AJ, Weinstein BJ (1998) Lactating Adenoma: US features and literature review. Radiology 206: 271–274

    PubMed  CAS  Google Scholar 

  11. Bonnier P, Romain S, Dilhuydy.IM et al. (1997) Influence of pregnancy on the outcome of breast cancer: a case control study. Societe Francaise de Senologie et de Pathologies Mammaire Study Group. Int J Cancer 72: 720–727

    Article  PubMed  CAS  Google Scholar 

  12. Ezzat A, Raja MA, Berry J et al. (1996) Impact of pregnancy on non-metastatic breast cancer: a case control study. Clin Oncol (R Coll Radiol) 8: 367–370

    Article  CAS  Google Scholar 

  13. Lethaby AE, O’Neill MA, Mason BH, Holdaway IM, Harvey VJ (1996) Overall survival from breast cancer in women pregnant or lactating at or after diagnosis. Auckland Breast Cancer Study Group. Int J Cancer 67: 751–755

    Article  PubMed  CAS  Google Scholar 

Literatur zu Kap. 1.6

  1. Niewöhner CR, Nuttall RQ (1984) Gynecomastia in a hospitalized male population. Am J Med 77: 633–638

    Article  Google Scholar 

  2. Sasco AJ, Lowenfels AB, Pasker-Delong P (1993) Epidemiology of male breast cancer. A meta analysis of published case control studies and discussion of selected ethiological factors. Intl Cancer 53: 538–549

    Google Scholar 

  3. LaVecchia C, Levi F, Lucchini F (1992) Descriptive epidemiology of male breast cancer in Europe. Int J Cancer 51: 62–66

    Article  CAS  Google Scholar 

  4. Duijm LE, Guit GL, Zaat ZO et al. (1997) Sensitivity, specificity and predictive values of breast imaging in the detection of cancer. Br 1 Cancer 76: 377–381

    Article  CAS  Google Scholar 

  5. Buchberger W, Penz T, Strasser K, Totsch M (1991) The radiological diagnosis of the male breast. Mammography, sonography and pathohistological correlation. Röfo Fortschr Geb Röntgenstr Neue Bildgeb Verfahr 155: 260–266

    Article  CAS  Google Scholar 

  6. O’Higgins on behalf of the European Breast Cancer Working Group (1998) European guidelines on the surgical management of mammographically detected lesions. Eur J Surg Oncol 24: 96–98

    Article  Google Scholar 

  7. Borgen PI, Senie RT, McKinnon WM, Rosen PP (1997) Carcinoma of the male breast: analysis of prognosis compared with matched female patients. Ann Surg Oncol 4: 385–388

    Article  PubMed  CAS  Google Scholar 

  8. Appelbaum AH, Evans GF, Levy KR et al. (1999) Mammographic appearances of male breast disease. Radiographics 19: 559–568

    PubMed  CAS  Google Scholar 

  9. Chantra PK, So GJ, Wollman JS, Bassett LW (1995) Mammography of the male breast. AJR Am J Roentgenol 164: 853–858

    PubMed  CAS  Google Scholar 

  10. Rissanen TJ, Makarainen HP, Kallioinen MJ et al. (1992) Radiography of the male breast in gynecomastia. Acta Radiol 33: 1 10–1 14

    Google Scholar 

  11. Dershaw DD (1986) Male mammography. AJR Am J Roentgenol 146: 127–131

    PubMed  CAS  Google Scholar 

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Bock, K. (2004). Grundlagen. In: Duda, V.F., Schulz-Wendtland, R. (eds) Mammadiagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-08458-8_1

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  • DOI: https://doi.org/10.1007/978-3-662-08458-8_1

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