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📋 What's Inside — Slide-by-Slide Outline

Section 01 — Surgical Anatomy (4 slides)

• Breast structure, TDLU, Cooper's ligaments, Tail of Spence
• Axillary LN Levels I/II/III table with Rotter's nodes, internal mammary nodes
• Mnemonic: "ALL Surgeons CLIP Carefully" for lymphatic drainage
• Nipple anatomy, T4 dermatome, polythelia, galactorrhea, Paget's disease

Section 02 — Benign Breast Disease ANDI (5 slides)

• Full ANDI table (Cardiff concept: 3 phases, aberrations → disease)
• Fibroadenoma vs Phyllodes (exam favorite)
• Breast cysts vs abscess (two-column comparison)
• Nipple discharge classification (C1–C5 FNAC coding, Hadfield's op, microdochectomy)
• Cancer risk stratification: No risk → 1.5× → 4–5× (ADH/ALH) → LCIS

Section 03 — Carcinoma Breast (5 slides)

• Epidemiology, BRCA1 (chr 17q) / BRCA2 (chr 13q), Gail Model
• Mnemonic: Oestrogenic exposure risk factors
• Molecular subtype table (Luminal A/B, HER2+, Triple Negative)
• Histopathological types (DCIS vs LCIS, NST, ILC, medullary, tubular, inflammatory)
• Bloom-Richardson grading mnemonic: TNM — Tubules/Nuclear pleomorphism/Mitoses

Section 04 — Investigations (4 slides)

• Clinical features (UOQ 50%, peau d'orange mechanism)
• Triple Assessment flowchart with color-coded decision boxes
• BI-RADS 0–6 complete table with malignancy probability
• FNAC (C1–C5) vs Core biopsy vs Mammography vs USS vs MRI indications

Section 05 — TNM Staging 8th Edition (4 slides)

• T category full table (T1mi → T4d)
• N and M categories
• Stage grouping with 5-year survival figures
• Metastatic workup mnemonic ("LABC gets FULL workup")

Section 06 — Surgical Treatment (3 slides)

• Complete mastectomy comparison table (Halsted → Patey → Madden → BCS)
• BCS indications/contraindications (NSABP B-06 trial reference)
• SLNB vs ALND, nerve injury table (Long thoracic = winging; Thoracodorsal = lat dorsi)

Section 07 — Adjuvant Therapy (4 slides)

• Chemotherapy regimens (CMF → AC-T, NACT, pCR definition)
• Hormone therapy table (Tamoxifen vs AI vs Fulvestrant vs GnRH agonists)
• HER2 targeted therapy (Trastuzumab, Pertuzumab, T-DM1, CDK4/6 inhibitors)
• Radiotherapy: indications, PMRT, complications, Stewart-Treves syndrome

Section 08 — Special Situations (3 slides)

• Inflammatory Ca vs Male Breast Cancer (two-column comparison)
• Breast Ca in Pregnancy, BRCA management
• Screening: mammography intervals, MRI indications, BSE

Section 09 — Reconstruction & Prognosis (3 slides)

• Implant vs autologous flaps (TRAM / DIEP / LD)
• Prognostic factors table (LN status = most important!)
• Oncotype DX thresholds (<18 / 18-30 / ≥31)

Section 10 — NEET PG High-Yield (4 slides)

• Top 20 one-liners (red alert slide)
• 14 previous INICET/NEET PG pattern questions with answers
• Management algorithm flowchart (age-based workup)
• Treatment algorithm flowchart (receptor-guided)
• 8-comparison table (most confusing pairs in exams)

Key Mnemonics Summary