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October 25, 1995

A Practical Approach to Breast Disease

Author Affiliations

Tripler Army Medical Center Honolulu, Hawaii

JAMA. 1995;274(16):1313-1314. doi:10.1001/jama.1995.03530160065040

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


In the preface the editors state that their goal is to create a "readable, succinct book on benign and malignant breast disease" so that "the primary care physician could feel comfortable managing common problems, deciding what problems needed referral to the specialists, and providing follow-up care." The book has four editors, representing internal medicine, pathology, radiology, and surgery, and 12 authors, 11 of whom are female.

The 21 chapters are divided among three parts. Part 1 contains basic concepts such as anatomy, physiology of the breast, nonmalignant disease, the pathway to cancer, screening, and biopsy of breast lesions. Part 2 deals with evaluation of a variety of clinical problems and situations such as occult lesions, palpable masses, the painful breast, nipple discharge, estrogen replacement therapy, plastic surgery, and the high-risk patient. Part 3 covers treatment and follow-up. Atypical hyperplasia and carcinoma in situ are discussed in one chapter, separately from

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