青年教師技能大賽

1、ONTENTSC 1 2 3 4 5 Breast cancer and Art ， Bathsheba Bathing by Rembrandt Harmensz van Rijn (1606-1669) 沐浴的芭特葉巴，倫勃朗 La Notte by Michelangelo di Lodovico Buonarroti Simoni (1475-1564) 夜，米開朗基羅 Breast Cancer and Art La Fornarina by Raffaello Sanzio of Urbino (14831520) 弗馬里娜，拉斐爾 The Madonna Delivers Mil

2、an From the Plague by II Cerano (15731632) 麥當娜在瘟疫中誕下米蘭，切拉諾 Anatomy LN, lobe, lobule, duct, gland, nipple lump skin ulceration axillary lymph node enlargement dimpling sign orange-peel sign nipple discharge & retraction shape change hyperplasia of mammary glands periodic pain. tuberculosis rare, ofte

3、n not primary. benign lumpsfibroadenoma, phylloides, cyst, lipoma, etc. mastitistrauma, lactation, anatomy defect Differential Diagnosis p bones of a woman, showing the deformations of metastatic breast cancer. p French surgeon Barthlmy Cabrol. p to remove the underlying chest muscles+breast. p Will

4、iam Halsted , U.S p radical mastectomy:breast+ pectoralis major/minor muscles +ALD 2200 BCDEEP CUT 1590 KNIFE SKILLS 1894 p Robert Egan , an X-ray examination to detect breast tumours. p 1970s, mammography. p surgery combined with chemotherapy works better p tamoxifen approved in the United States a

5、s a treatment for advanced metastatic breast cancer. DOUBLE STANDARD 1975 DRUG STOP 1977 X-RAY VISION 1956 p The US Nurses Health Study reveals that HRT increases the risk of breast cancer p People live as long after lumpectomy combined with radiation as they do after radical mastectomy. p BRCA1,BRC

6、A 2. p “triple-receptor-negative” breast cancer p Herceptin GENE TIMES BUSTED FLUSH 1995 LESS IS MORE 2002 ndocummentary：PE， DDx， plan n surgical technique: suture, dressing change n to take care of your patient: physical, psychological Let Your Patient Be Your Artwork 01 02 03 Breast-conserving rad

7、ical resection with omentum reconstruction Do You Agree It Is Art? Cosmetic outcome after surgery Prospects Targeted Intraoperative Radiotherapy Art and Art Images in Research competition organised by University College London, UK tailed treatments, more precise, less side effects Breast Cancer and

8、Art La Fornarina by Raffaello Sanzio of Urbino (14831520) 弗馬里娜，拉斐爾 The Madonna Delivers Milan From the Plague by II Cerano (15731632) 麥當娜在瘟疫中誕下米蘭，切拉諾 p The US Nurses Health Study reveals that HRT increases the risk of breast cancer p People live as long after lumpectomy combined with radiation as they do after radical mastectomy. p BRCA1,BRCA 2. p “triple-receptor-negative” breast cancer p Herceptin GENE TIMES BUSTED FLUSH 1995 LESS IS MORE 2002 ndocummentary：PE， DDx， plan n surgic