CURRENT
Medical Diagnosis
& Treatment
UPDATED ANNUALLY
rtip I 'H -
i i h ll
MAXINE A . PAPADAKlf;
MICHAEL W . RABOVY
KENNETH R . MtQUAID
A" FO TfrK PflONICA GANDHI
& LANGE
,Mc
Access
Graw
Hill Medicine *
CURRENT Medical Diagnosis & Treatment
on AccessMedicine
Looking for the latest breast cancer recommendations?
Go to AccessMedicine.com/CMDT where you’ll find this guidance
as well as coverage of more than 1,000 diseases and disorders!
Current Medical Diagnosis & Treatment 2025
Maxine A.Papadakis, Stephen J.McPhee,Michael W. Rabow,Kenneth R. McQuaid
Part 19: Breast Disorders
19-01: Fibrocystic Condition
-
19 02: Fibroadenoma of the Breast
-
19 03: Nipple Discharge
-
19 04: Fat Necrosis
-
19 OS: Breast Abscess Medications Action Dose, Route,Frequency
Multiple nodules
19-06: Disorders of the Augmentec Anastrozole Al 1 mg orally daily Hotfli
I -
19 07: Carcinoma of the Female Bi
(Arimidex)
Solitary mass I Dominant mass
] 19-08: Carcinoma of the Male Brea
ixemestane
(Aromasin)
Al 25 mg orally daily
;ulvestrant (Faslodex)
, Steroidal estrogen 500 mg intramuscularly
Not clinically Clinically Part 20: Gynecologic Disorders receptor antagonist days 1, 15, 29 and theq
malignant malignant
Goserelin (Zoladex) Synthetic LH-releasing 3.6 mg subcutaneously Older
Mammogram; analog
Ireast cancer in parent, sibling,or <
etrozole (Femara) Al 2.5 mg orally daily (especially bilateral or premenoi
euprolid (Lupron) Synthetic LH-releasing 3.75 or 7.5 mg subcutanej IfiCAI, BRCA2, or other unknown n
,
Cystic
No abnormality, or solid Appears Mammogram; Mf9ntr ol acetate
:
Progestin
monthly
* arly menarche (underage 12)
40 mg orally four times d< ate menopause ( after age 55)
mass but not suggestive malignant ultrasound
of malignancy ( Megace)
indometrial cancer
, ; tamoxifen citrate SERM 20 mg orally daily
roliferative forms of fibrocystic dis
’lancer in other breast
Aspirate Core needle biopsy1 j Core needle Core needle
(Nolvadex)
alter next biopsy1 biopsy
'
menses or t -4 months White
, , loremifene citrate
(Fareston)
SERM 60 mg orally daily
vlulliparous or first pregnancy after
30 years
CURRENT Medical Diagnosis & Treatment (CMDT) on AccessMedicine gives you all the
trusted book content in a searchable format plus expanded topic coverage, videos, audio
clips, more images, and exclusive online-only chapters.
How will CMDT on AccessMedicine help you in your clinical practice?
• The “Year in Review” informs you on nearly 100 of the most notable clinical changes
over the last 12 months
• Search and navigation tools will expedite your clinical search
• Multimedia allows you to experience the sights and sounds of clinical conditions
Discover the above and more atwww.AccessMedicine com/CMDT .
Purchasers of the book receive access to the e-chapters as noted in the table of contents. An AccessMedicine subscription includes the digitally searchable version of CMDT.
,Mc
Graw
Hill
Access ?
Medicine
Quick Medical Diagnosis & Treatment
QUICK
Medical Diagnosis
2025
Over 960 diseases
J KLMNOPQRSTUVW
-
B LANGE
and conditions
at your fingertips! QUICK
2025
-
S LANGE
Quick Medical Diagnosis & Treatment is distilled from the trusted, best-selling annual
guide to adult internal medicine-CURRENT Medical Diagnosis & Treatment.
Organized alphabetically, topics are bulleted for concise and at-a-glance use in a busy
clinical setting.
Each disease is structured to highlight:
• Essentials of diagnosis
• Symptoms, signs, and differential diagnosis
• Laboratory tests, imaging studies, and diagnostic procedures
• Medications, surgery, and therapeutic procedures
• Complications, prognosis, when to refer, and when to admit
• References to clinical guidelines, must-know studies, and helpful online resources
DIAGNOSAURUS
<< unbound
For a new age in healthcare
Diagnosaurus is the go-to tool by students, physicians, and healthcare professionals for
more than 1,000 differential diagnoses to help you make informed decisions.
Available online at AccessMedicine.com M Available on the GET IT ON
or download it from the App store LJ App Store
^ Google Play
, a LANGE medical book
2025
CURRENT
Medical Diagnosis
& Treatment
SIXT Y-FOURTH EDITION
Edited by
Maxine A. Papadakis, MD Michael W. Rabow, MD
Professor of Medicine, Emeritus Professor of Medicine and Urology
Department of Medicine Division of Palliative Medicine
University of California, San Francisco Department of Medicine
University of California, San Francisco
Kenneth R. McQuaid, MD
Professor of Medicine
Department of Medicine
University of California, San Francisco
Associate Editor
Monica Gandhi, MD, MPH
Professor of Medicine
Division of HIV, ID, and Global Medicine
San Francisco General Hospital
University of California, San Francisco
With Contributing Authors
Medical Diagnosis
& Treatment
UPDATED ANNUALLY
rtip I 'H -
i i h ll
MAXINE A . PAPADAKlf;
MICHAEL W . RABOVY
KENNETH R . MtQUAID
A" FO TfrK PflONICA GANDHI
& LANGE
,Mc
Access
Graw
Hill Medicine *
CURRENT Medical Diagnosis & Treatment
on AccessMedicine
Looking for the latest breast cancer recommendations?
Go to AccessMedicine.com/CMDT where you’ll find this guidance
as well as coverage of more than 1,000 diseases and disorders!
Current Medical Diagnosis & Treatment 2025
Maxine A.Papadakis, Stephen J.McPhee,Michael W. Rabow,Kenneth R. McQuaid
Part 19: Breast Disorders
19-01: Fibrocystic Condition
-
19 02: Fibroadenoma of the Breast
-
19 03: Nipple Discharge
-
19 04: Fat Necrosis
-
19 OS: Breast Abscess Medications Action Dose, Route,Frequency
Multiple nodules
19-06: Disorders of the Augmentec Anastrozole Al 1 mg orally daily Hotfli
I -
19 07: Carcinoma of the Female Bi
(Arimidex)
Solitary mass I Dominant mass
] 19-08: Carcinoma of the Male Brea
ixemestane
(Aromasin)
Al 25 mg orally daily
;ulvestrant (Faslodex)
, Steroidal estrogen 500 mg intramuscularly
Not clinically Clinically Part 20: Gynecologic Disorders receptor antagonist days 1, 15, 29 and theq
malignant malignant
Goserelin (Zoladex) Synthetic LH-releasing 3.6 mg subcutaneously Older
Mammogram; analog
Ireast cancer in parent, sibling,or <
etrozole (Femara) Al 2.5 mg orally daily (especially bilateral or premenoi
euprolid (Lupron) Synthetic LH-releasing 3.75 or 7.5 mg subcutanej IfiCAI, BRCA2, or other unknown n
,
Cystic
No abnormality, or solid Appears Mammogram; Mf9ntr ol acetate
:
Progestin
monthly
* arly menarche (underage 12)
40 mg orally four times d< ate menopause ( after age 55)
mass but not suggestive malignant ultrasound
of malignancy ( Megace)
indometrial cancer
, ; tamoxifen citrate SERM 20 mg orally daily
roliferative forms of fibrocystic dis
’lancer in other breast
Aspirate Core needle biopsy1 j Core needle Core needle
(Nolvadex)
alter next biopsy1 biopsy
'
menses or t -4 months White
, , loremifene citrate
(Fareston)
SERM 60 mg orally daily
vlulliparous or first pregnancy after
30 years
CURRENT Medical Diagnosis & Treatment (CMDT) on AccessMedicine gives you all the
trusted book content in a searchable format plus expanded topic coverage, videos, audio
clips, more images, and exclusive online-only chapters.
How will CMDT on AccessMedicine help you in your clinical practice?
• The “Year in Review” informs you on nearly 100 of the most notable clinical changes
over the last 12 months
• Search and navigation tools will expedite your clinical search
• Multimedia allows you to experience the sights and sounds of clinical conditions
Discover the above and more atwww.AccessMedicine com/CMDT .
Purchasers of the book receive access to the e-chapters as noted in the table of contents. An AccessMedicine subscription includes the digitally searchable version of CMDT.
,Mc
Graw
Hill
Access ?
Medicine
Quick Medical Diagnosis & Treatment
QUICK
Medical Diagnosis
2025
Over 960 diseases
J KLMNOPQRSTUVW
-
B LANGE
and conditions
at your fingertips! QUICK
2025
-
S LANGE
Quick Medical Diagnosis & Treatment is distilled from the trusted, best-selling annual
guide to adult internal medicine-CURRENT Medical Diagnosis & Treatment.
Organized alphabetically, topics are bulleted for concise and at-a-glance use in a busy
clinical setting.
Each disease is structured to highlight:
• Essentials of diagnosis
• Symptoms, signs, and differential diagnosis
• Laboratory tests, imaging studies, and diagnostic procedures
• Medications, surgery, and therapeutic procedures
• Complications, prognosis, when to refer, and when to admit
• References to clinical guidelines, must-know studies, and helpful online resources
DIAGNOSAURUS
<< unbound
For a new age in healthcare
Diagnosaurus is the go-to tool by students, physicians, and healthcare professionals for
more than 1,000 differential diagnoses to help you make informed decisions.
Available online at AccessMedicine.com M Available on the GET IT ON
or download it from the App store LJ App Store
^ Google Play
, a LANGE medical book
2025
CURRENT
Medical Diagnosis
& Treatment
SIXT Y-FOURTH EDITION
Edited by
Maxine A. Papadakis, MD Michael W. Rabow, MD
Professor of Medicine, Emeritus Professor of Medicine and Urology
Department of Medicine Division of Palliative Medicine
University of California, San Francisco Department of Medicine
University of California, San Francisco
Kenneth R. McQuaid, MD
Professor of Medicine
Department of Medicine
University of California, San Francisco
Associate Editor
Monica Gandhi, MD, MPH
Professor of Medicine
Division of HIV, ID, and Global Medicine
San Francisco General Hospital
University of California, San Francisco
With Contributing Authors
