In some patients, performing a core biopsy to investigate a lesion, some lesions are revealed which, although benign, increase the possibility of malignancy in the future or even coexisting in the surrounding tissues. These lesions are called “High-risk diseases” and often trouble specialists.
High-risk diseases are the following:
Atypical ductal hyperplasia (ADH)
It is a benign condition of the breast, usually with an image of a disturbance of its architecture. If we discover it in an open biopsy (complete removal) no further treatment is needed, but if it is found in a percutaneous biopsy, excision or follow-up is recommended depending, of course, on the patient's history.
Atypical lobular hyperplasia¨ (ALH)
It is a lobular neoplasia which does not have special imaging findings and therefore is usually an incidental finding during biopsy. The patient needs close monitoring by a specialist and may also need surgical excision if there is an individual and/or family history.
Lobular carcinoma in situ (LCIS)
LCIS was for many years treated as breast cancer with radical operations, usually mastectomy or bilateral mastectomy, due to its multifocality and the increased risk of it occurring in the other breast as well. We now classify it as lobular neoplasia and close monitoring or prophylactic hormone therapy is recommended
Physician, Doctor Dimitris L. Tsironis
Doctor Dimitris L. Tsironis was born in Athens where he continues to reside, in the Glyfada area. He is a graduate of the medical school “University of Medicine and Pharmacy – Gr.T.Popa”, with an Honors degree. He served his military service as a Medical Officer in the Navy. He then began his specialization as a General Surgeon at the "Breast Center" of the "ELENA VENIZELOU" General Hospital - Obstetrics for one year, where his love for the breast also began. Two years of specialization followed at the Anti-Cancer - Oncology Hospital "AGIOS SAVVAS", where for six months he continued his specialization in breast surgery at the "Breast Center". He completed his specialty at the Nursing Institution of the Army Stock Fund – 417 N.I.M.T.S.
In parallel with his specialization, he attended and participated in the use and operation of the "MAMMOTOME - BLES" stereotaxic breast biopsy system, in the "Breast Unit" of the 1st Pre-Educational Surgery Clinic of IPPOKRATEI G.N.A.
He has attended and participated in many conferences related to Breast Cancer and General Surgery, and has also presented several papers and announcements.
He is a member of the Hellenic Society of Breast Surgery. Being a volunteer, he participates in many actions, either as a speaker or as an examiner.
In 2016, he worked as a curator at the Breast Center of METROPOLITAN HOSPITAL. Now he maintains a Clinic in the area of Ilioupoli and cooperates with the Hospitals: Eugenidei Hospital, Mediterraneo Hospital, Mitera, Old Faliro Hospital
Skra 7, Ilioupoli, Canary Square, 210 9762329, 694 827 9221
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The breast lies in front of the chest wall, with the nipple projecting centrally and the ducts ending there. Around it we observe in a darker color the areola which contains sebaceous glands (Montgomery). The mammary or mammary gland consists of the lobes and ducts and is surrounded by fat. The projection of the gland into the axilla is called "spence's tail"
The breast is supplied with blood mainly from the axillary artery via the lateral or external thoracic artery, From the subclavian artery through the internal thoracic and the perforating branches of the internal mammary artery, as well as from other branches such as: Acromiothoracic, superior thoracic, intercostal and subscapular arteries. The venous network ends in the axillary, intercostal and internal thoracic veins.
The lymphatic drainage of the breast is mainly to the lymph nodes of the axillary cavity, while to a lesser extent to the supraclavicular and internal mammary lymph nodes.
The breast is a hormone-dependent organ, which is why its function is determined by hormone fluctuations. The effect of estrogen during puberty is also the reason why the breast develops more in women than in men. Furthermore, female hormones increase more during pregnancy resulting in the stimulation of the gland and the production of milk in combination with the mechanical irritation of the nipple (nursing movement of the infant). Also, the aloe nodules or sebaceous glands of Montgomery during breastfeeding lubricate the breast.