Dr. Joel Aronowitz - Dissection of Healthy Breast Tissue vs Breast Cancer direct from the operation room!
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| Dr. Joel Aronowitz |
Dr. Joel Aronowitz: “Here's our specimen, and let's take a little closer look. So this basically represents the undersurface, a little bit of the paper stuck on there. So this is the undersurface that's come off of the pectoralis muscle. And this is the breast, the top and the bottom of the breast. So if we cut through the normal breast tissue.
We see fatty tissue, and we see the white tissue of the normal breast tissue. There's a little blood left in some of the vessels. And if we could see microscopically, we would see ducts coursing through that breast tissue on their way to deliver milk to the nipple from the glands that are in some of this white tissue at the end of each duct.
So that's normal appearing breast tissue. Some women have more fatty tissue. Some have more fibrous tissue. Some will have cysts that form, but that's basically going to be normal appearing breast tissue. Now, here's the skin that we saw on the outside. And if we cut through the skin and into the underlying tumor.
We'll see what the breast cancer looks like. And here we have the breast cancer. There's white tissue here because that's very high in DNA. There's hemorrhagic tissue here.
This is all hemorrhage. This is very soft because it's outgrown its blood supply. And it's starting to fungate. Here's the skin edge right here. And we can see that it's very thin. And soon this would have actually eroded through the skin and presented itself to the outside world as a fungating tumor that we've seen. Here is this normal breast tissue.
Here's the edge of the tumor, and here's the body of the tumor itself, about five centimeters in diameter. So there's a breast cancer that's quite large that unfortunately has gotten a little bit out of control at this stage. And we've taken that out with the rest of the breast tissue for this woman and done an immediate first-stage reconstruction with an expander.
But I just wanted to give you a view of what the breast cancer looks like up close.”
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