Breast Diseases

Dr. Selvi Radhakrishna is a breast surgeon at Chennai Breast Centre and Apollo Specialty Hospitals, Chennai. She has a special interest in breast imaging and with the expertise gained over a period of time from different centres in the world she has developed  an integrated training program for fellows in both breast imaging and surgery.

Section – I Introduction The normal breast.- Overview of screening for breast cancer. Section – II Imaging modalities.-  Mammography – Equipment and technology.- Mammographic positioning.- Step by step approach to read a mammogram.- Analysis of mass lesions and architectural distortion.- Approach to asymmetry.- Calcifications.- BI-RADS lexicon for mammography.- Understanding the physics of breast Ultrasound.- Equipment settings and examination technique.- Sonographic criteria to assess breast lesions.- Correlating mammography and breast ultrasound.- Axillary Ultrasound.- BI-RADS lexicon for breast ultrasound.- Breast MR Imaging. Section – III Benign Breast Disorders.- Fibrocystic change- Proliferative Change.- Breast cysts.- Fibroadenoma.- Phyllodes.- Breast infections.- Nipple discharge. Section – IV Interventional Procedures.- Principles and Practice of image guided interventional procedures Section – V Pathological Considerations.- Handling of surgical specimens.- Conventional prognostic markers.- Understanding ER and PR and Her2.- Overview of Immunohistochemistry in breast lesions.- Molecular classification of breast cancer Section – VI Breast Cancer.- Hereditary breast cancer.- Ductal carcinoma in situ.- Invasive breast cancer –NOS.- Invasive lobular carcinoma.- Medullary carcinoma.- Mucinous Carcinoma.- Tubular Carcinoma.- Invasive papillary Carcinoma.- Invasive micropapillary Carcinoma.- Metaplastic carcinoma.- Staging of breast cancer.- Surgical management of breast cancer.- Chemotherapy.- Hormone therapy.- Targeted therapies.- Imaging of the treated breast.