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https://www.readbyqxmd.com/read/29227250/oncoplastic-surgery-of-multicentric-multifocal-breast-cancer-case-report
#1
I Kokhreidze
The multicentric/multifocal form of breast cancer has been considered as relative contraindicationfor breast conserving surgery. According to the results of the studies conducted in the last century, the local recurrence rate of the disease after breast conserving surgeries of multicentric/multifocal breast cancer exceeds 40%. Thus these data were considered as main argument for mastectomy advocates, as non-alternative surgical treatment in these cases. Wide clinical application of oncoplastic surgical techniques gave us possibilities to resolve dilemma: excise tumor - containing quadrant with achieving clear margins and satisfactory cosmetic outcome, without increasing risk of disease-related complications...
November 2017: Georgian Medical News
https://www.readbyqxmd.com/read/29173257/training-canadian-surgeons-in-oncoplastic-breast-surgery-where-do-we-stand
#2
Eman Khayat, Muriel Brackstone, Jessica Maxwell, Renee Hanrahan, Jeannie Richardson, Marianna Kappala, Angel Arnaout
Breast-conserving surgery with adjuvant radiation therapy is widely accepted as a universal standard of care for women with early-stage breast cancer. Oncoplastic breast-conserving surgery (OPS) techniques have emerged in recent years, facilitating the achievement of better cosmetic results while adhering to good oncological principles. Compared with the rest of the international community, Canada has been fairly slow in its clinical uptake of OPS. This commentary discusses how Canada can increase its capacity for OPS...
December 2017: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29132559/oncoplastic-breast-reconstruction-should-all-patients-be-considered
#3
REVIEW
Mehran Habibi, Kristen P Broderick, Mohamad E Sebai, Lisa K Jacobs
Oncoplastic surgery of the tissue defect from partial mastectomy should be considered for all patients. It can result in in significant asymmetries from scar contraction, skin tethering, and alterations in the nipple areolar complex location. Indications, risks, and benefits are discussed. Optimal procedures are described, considering resected specimen volume, primary tumor location, tumor to breast size ratio, and the impact on the nipple areolar complex. Indications for plastic surgery consultation and joint surgery are discussed...
January 2018: Surgical Oncology Clinics of North America
https://www.readbyqxmd.com/read/29102230/-an-original-oncoplastic-technique-for-the-wide-excision-of-large-breast-tumors-located-in-the-lower-inner-quadrant-with-video
#4
A Baratte, V Gabriele, S Moliere, C Mathelin
No abstract text is available yet for this article.
November 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29089810/training-oncoplastic-breast-surgeons-the-canadian-fellowship-experience
#5
J Maxwell, A Arnaout, R Hanrahan, M Brackstone
BACKGROUND: Oncoplastic breast surgery combines traditional oncologic breast conservation with plastic surgery techniques to achieve improved aesthetic and quality-of-life outcomes without sacrificing oncologic safety. Clinical uptake and training remain limited in the Canadian surgical system. In the present article, we detail the current state of oncoplastic surgery (ops) training in Canada, the United States, and worldwide, as well as the experience of a Canadian clinical fellow in ops...
October 2017: Current Oncology
https://www.readbyqxmd.com/read/29080658/indications-and-controversies-in-partial-mastectomy-defect-reconstruction
#6
REVIEW
Jean-François Honart, Anne-Sophie Reguesse, Samuel Struk, Benjamin Sarfati, Françoise Rimareix, Heba Alkhashnam, Frédéric Kolb, Kessara Rem, Nicolas Leymarie
Breast cancer surgical treatment nowadays includes oncoplastic surgery. It is a reliable oncologic surgical treatment, which also prevents functional and aesthetic sequelae, thus improving the patient's quality of life and satisfaction. Numerous techniques have been described, with different levels of complexity and technicality. Their indications differ depending on the global breast volume and the degree of ptosis, on the tumor volume compared with the breast volume, and on the tumor location. This article describes the authors' many years of experience of breast cancer treatment using oncoplastic surgery...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080650/modern-approaches-to-the-surgical-management-of-malignant-breast-disease-the-role-of-breast-conservation-complete-mastectomy-skin-and-nipple-sparing-mastectomy
#7
REVIEW
Tulin D Cil, David McCready
The armamentarium of the modern breast surgeon includes the time-tested procedures of modified radical mastectomy and lumpectomy with sentinel lymph node biopsy with postoperative radiation, but has evolved to include several options that produce excellent oncologic endpoints and improved cosmesis. These options include skin- and nipple-sparing mastectomies with immediate reconstruction as well as oncoplastic procedures that allow larger excisions and better postoperative breast shape. This article provides an overview of these modern surgical approaches for breast cancer treatment...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29076314/the-usefulness-of-pedicled-perforator-flap-in-partial-breast-reconstruction-after-breast-conserving-surgery-in-korean-women
#8
Jae Bong Kim, Dong Kyu Kim, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Ho Yong Park, Jee Yeon Lee, Jung Dug Yang
Background: The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of TDAP (thoracodorsal artery perforator) and LICAP (lateral intercostal artery perforator) flaps...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29076313/selection-of-oncoplastic-surgery-in-asian-breast-cancer-patients
#9
Eui Sun Shin, Hyo In Kim, Seung Yong Song, Dae Hyun Lew, Dong Won Lee
Background: Oncoplastic surgery is increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small- to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors determining the optimal surgical method should be considered. Methods: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty to restore the breast volume and symmetry...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29070991/magnetic-resonance-imaging-after-breast-oncoplastic-surgery-an-update
#10
REVIEW
Silvia Gigli, Maria I Amabile, Francesca Di Pastena, Lucia Manganaro, Emanuele David, Massimo Monti, Valerio DʼOrazi, Carlo Catalano, Laura Ballesio
Breast-oncoplastic surgery, allowing local tumor control and a better cosmetic outcome, is oncologically safe when applied to early-stage breast cancer. Breast cancer recurrence following conservative therapy may occur during the first 5 years after treatment, with a peak incidence after 2 years. Therefore, during the follow-up period, patients undergo a series of ultrasound (US) and mammographic examinations. However, after surgery and radiation therapy, several modifications occur in the treated breast, causing difficulties in image interpretation, especially when local recurrence is suspected...
September 2017: Breast Care
https://www.readbyqxmd.com/read/29069885/internal-mammary-artery-perforator-flap-for-immediate-volume-replacement-following-wide-local-excision-of-breast-cancer
#11
Martine A van Huizum, J Joris Hage, Hester A Oldenburg, Marije J Hoornweg
BACKGROUND: Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction techniques (volume displacement) or tissue replacement techniques (volume replacement) is gaining popularity to prevent breast malformation. METHODS: To date, using the internal mammary artery perforator (IMAP) flap has been suggested for immediate volume replacement after WLE, but has never been evaluated in a published study...
November 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29064918/updated-evidence-on-the-oncoplastic-approach-to-breast-conservation-therapy
#12
Albert Losken, Alexandra M Hart, Abhishek Chatterjee
The oncoplastic approach to breast conservation therapy has become a useful and popular option for women with breast cancer who wish to preserve their breast. The initial driving forces were aimed at minimizing the potential for a breast conservation therapy deformity; however, various other benefits have been identified that include broadening the indications for breast conservation therapy in some patients and improved margin control. The various techniques can be categorized into glandular rearrangement techniques such as breast reductions usually in patients with larger breasts or flap reconstruction such as the latissimus dorsi muscle usually in patients with smaller breasts...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29027320/trends-in-oncoplastic-breast-surgery-and-breast-reconstruction-over-the-past-35%C3%A2-years
#13
Ruffo Freitas-Junior, Sara Socorro Faria, Régis Resende Paulinelli, Edésio Martins
No abstract text is available yet for this article.
October 13, 2017: Breast Journal
https://www.readbyqxmd.com/read/28984579/follow-up-of-patients-undergoing-oncoplastic-surgery-more-palpable-masses-and-benign-biopsies
#14
Yoav Amitai, Orit Golan, Yoav Barnea, Joseph Klausner, Tehillah S Menes
BACKGROUND: Oncoplastic reconstruction is increasingly used in the management of women undergoing breast conserving surgery. We examined the findings on breast exam and imaging of patients who underwent breast conservation with or without oncoplastic reconstruction. OBJECTIVE: We hypothesized that patients undergoing immediate breast reconstruction would present with more palpable and imaging abnormalities compared to lumpectomy alone and undergo therefore more biopsies...
October 3, 2017: Breast Disease
https://www.readbyqxmd.com/read/28975837/oncoplastic-surgery-keeping-it-simple-with-5-essential-volume-displacement-techniques-for-breast-conservation-in-a-patient-with-moderate-to-large-sized-breasts
#15
Abhishek Chatterjee, Deniz Dayicioglu, Nazanin Khakpour, Brian J Czerniecki
Oncoplastic surgery is an evolving field in breast surgery combining the strengths of breast surgical oncology with plastic surgery. It provides the surgeon the ability to excise large areas of the breast in the oncologic resection without compromising, and possibly improving, its aesthetic appearance. The purpose of this review is to provide a guide that could help a breast surgeon excise breast cancer in most areas of the breast using 5 oncoplastic techniques. These techniques would be used depending primarily on the location of the cancer in the breast and also on the size of the tumor...
October 2017: Cancer Control: Journal of the Moffitt Cancer Center
https://www.readbyqxmd.com/read/28973708/early-postoperative-complications-after-oncoplastic-reduction
#16
Anne E Mattingly, Zhenjun Ma, Paul D Smith, John V Kiluk, Nazanin Khakpour, Susan J Hoover, Christine Laronga, M Catherine Lee
BACKGROUND: Breast-conserving surgery with adjuvant radiation therapy (BCT) has been established as safe oncologically. Oncoplastic breast surgery uses both oncologic and plastic surgery techniques for breast conservation to improve cosmetic outcomes. We evaluated the risk factors associated with complications after oncoplastic breast reduction. METHODS: A single-institution, institutional review board-approved, retrospective review of electronic medical records of female patients with breast cancer who underwent oncoplastic breast reduction from 2008 to 2014...
October 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28954713/lateral-oncoplastic-breast-surgery-lobs-a-new-surgical-technique-and-short-term-results
#17
Gurpreet Singh, Pavneet Singh Kohli, Dinesh Bagaria
BACKGROUND: We present a new approach for BCS which we have named as the Lateral Oncoplastic Breast Surgery (LOBS) approach. METHODS: Patients with biopsy proven breast cancer or phyllodes tumors in the outer quadrants of the breast were selected. The patients were operated in the lateral position using the principles of a Level 1 oncoplastic technique. RESULTS: 106 patients (93 breast cancer; 13 phyllodes tumor) were operated using this technique...
September 21, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28951287/the-impact-of-be-clear-on-cancer-campaign-on-breast-care-services-provided-by-a-specialist-oncoplastic-unit-a-retrospective-case-control-study
#18
Fayyaz Ali Khan Mazari, Stephen Holt, Iman A Azmy
INTRODUCTION: "Be Clear on Cancer" (BCOC) was a national campaign to raise awareness of breast cancer in women over seventy years old. Cancer Research UK conducted this campaign from 03 February 2014 to 15 March 2014. This study assesses its impact on breast care services. METHODS: BCOC campaign guidelines for hospital trusts were used as standard comparator for this retrospective case-control study. All new patients referred to breast clinic over four months from February 2014 were included, and compared to the same period in 2013...
November 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28940202/a-novel-oncoplastic-technique-for-breast-cancer-localized-in-the-lower-pole-of-the-breast
#19
Masakuni Noguchi, Yukako Ohno, Emi Morioka, Miki Noguchi, Yasuharu Nakano, Takeo Kosaka, Ken-Ichi Shimada
No abstract text is available yet for this article.
September 20, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28918848/a-multi-institutional-analysis-of-intraoperative-radiotherapy-for-early-breast-cancer-does-age-matter
#20
MULTICENTER STUDY
A M Abbott, S A Valente, L Loftus, R D Tendulkar, J M Greif, K P Bethke, E D Donnelly, C Lottich, D L Ross, N B Friedman, C G Bedi, J E Joh, P Kelemen, R A Hoefer, S K Kang, J Ruffer, A Police, A Fyles, G M Graves, S C Willey, E A Tousimis, W Small, J Lyons, S Grobmyer, C Laronga
BACKGROUND: Single-session intraoperative radiation therapy (IORT) minimizes treatment demands associated with traditional whole breast radiation therapy (WBRT) but outcomes on local disease control and morbidity among the elderly is limited. METHODS: A multi-institutional retrospective registry was established from 19 centers utilizing IORT from 2007 to 2013. Patient, tumor, and treatment variables were analyzed for ages <70 and ≥70. RESULTS: We evaluated 686 patients (<70 = 424; ≥70 = 262) who were margin and lymph node negative...
October 2017: American Journal of Surgery
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