Wendie A Berg

In this chapter, the current status of breast imaging for both screening and diagnosis is reviewed. Mammography remains the standard for screening; however, moderate evidence supports the use of ultrasound (US) or magnetic resonance imaging (MRI) for supplemental screening of certain subgroups of women. Evaluation of a lump is highly accurate when both mammography and US are used. For the patient with nipple discharge, US appears to be an acceptable, non-invasive alternative to ductography.

MRI and US also play a role in evaluating disease extent in both ipsilateral and contralateral breasts. No imaging test is sufficiently accurate compared to sentinel lymphadenec-tomy to preoperatively identify metastatic nodes, although US-guided fine-needle aspiration can confirm metastatic adenopathy. Positron emission tomography plays a role in restaging recurrent breast cancer.

A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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