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Breast cancer reconstruction

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https://www.readbyqxmd.com/read/29454174/mastectomy-patterns-but-not-rates-are-changing-in-the-treatment-of-early-breast-cancer-experience-of-a-single-european-institution-on-2315-consecutive-patients
#1
Alessandro Fancellu, Valeria Sanna, Pietrina Cottu, Cladio F Feo, Antonio M Scanu, Giulia Farina, Antonio Bulla, Angela Spanu, Panagiotis Paliogiannis, Alberto Porcu
BACKGROUND: Recent literature reports that rates of mastectomy are increasing in early breast cancer. However, data from European institutions are limited and revealed conflicting results. We report on 15-year trends of mastectomy, mastectomy plus immediate reconstruction and contralateral prophylactic mastectomy (CPM) at an academic institution. METHODS: We identified women diagnosed with unilateral early breast cancer at stage 0-IIa, with tumour size ≤ 4 cm, between 2002 and 2016...
February 14, 2018: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/29452858/the-effect-of-being-informed-on-receiving-immediate-breast-reconstruction-in-breast-cancer-patients
#2
K M de Ligt, A C M van Bommel, K Schreuder, J H Maduro, M T F D Vrancken Peeters, M A M Mureau, S Siesling
INTRODUCTION: In previous research from the NABON breast cancer audit, observed hospital variation in immediate breast reconstruction (IBR) rates in the Netherlands could not be fully explained by tumour, patient, and hospital factors. The process of information provision and decision-making may also contribute to the observed variation; the objective of the current study was to give insight in the underlying decision-making process for IBR and to determine the effect of being informed about IBR on receiving IBR...
February 2, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29449682/anatomic-and-terminological-description-and-processing-of-breast-pathologic-specimens-from-oncoplastic-large-volume-displacement-surgeries
#3
REVIEW
Yuanxin Liang, Stephen P Naber, Abhishek Chatterjee
Oncoplastic surgery provides breast cancer patients with greater aesthetic satisfaction without compromising disease-free survival or overall survival rate. Large volume displacement oncoplastic surgical techniques have become increasingly popular as a strategy for improving aesthetic outcomes and extending the option of breast conservation therapy. They often involve breast reduction or mastopexy reconstructive techniques to facilitate resection of large breast volumes on the side of the breast cancer and accompanied with symmetry contralateral breast reductions or mastopexies...
February 15, 2018: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
https://www.readbyqxmd.com/read/29442215/meta-analysis-for-psychological-impact-of-breast-reconstruction-in-patients-with-breast-cancer
#4
Wanjing Chen, Xiaoai Lv, Xiaohong Xu, Xiufei Gao, Bei Wang
AIMS: This meta-analysis aimed to evaluate the impact of breast reconstruction on the psychological aspects in patients with breast cancer. METHODS: A literature search on PubMed, Embase, ScienceDirect and Google scholar databases was conducted up to September 2017. The pooled risk radio (RR) or standard mean difference (SMD) and the corresponding 95% confidence intervals (CIs) were calculated using the RevMan 5.3 software. RESULTS: A total of 5 studies were included in this meta-analysis...
February 13, 2018: Breast Cancer: the Journal of the Japanese Breast Cancer Society
https://www.readbyqxmd.com/read/29433880/reconstruction-among-patients-undergoing-mastectomy-the-effect-of-surgical-deserts
#5
Halley Vora, Alice Chung, Azaria Lewis, Jim Mirocha, Farin Amersi, Armando Giuliano, Rodrigo F Alban
BACKGROUND: Surgical deserts (SDs) are defined as the geographic maldistribution of general surgeons of six or less per 100,000 population in underserved/rural counties. Disparities have been reported in breast cancer outcomes; however, the effect of SDs remains unknown. We sought to examine the effect of SDs on breast reconstruction (BR) after mastectomy and the differences between patients in both the cohorts. METHODS: Using the Nationwide Inpatient Sample database years 2007-2011, we identified International Classification of Diseases 9th edition codes for breast cancer, mastectomy, and BR in California...
March 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29430479/toward-quantitative-quasistatic-elastography-with-a-gravity-induced-deformation-source-for-image-guided-breast-surgery
#6
Rebekah H Griesenauer, Jared A Weis, Lori R Arlinghaus, Ingrid M Meszoely, Michael I Miga
Biomechanical breast models have been employed for applications in image registration and diagnostic analysis, breast augmentation simulation, and for surgical and biopsy guidance. Accurate applications of stress-strain relationships of tissue within the breast can improve the accuracy of biomechanical models that attempt to simulate breast deformations. Reported stiffness values for adipose, glandular, and cancerous tissue types vary greatly. Variations in reported stiffness properties have been attributed to differences in testing methodologies and assumptions, measurement errors, and natural interpatient differences in tissue elasticity...
January 2018: Journal of Medical Imaging
https://www.readbyqxmd.com/read/29428030/longer-time-intervals-from-diagnosis-to-surgical-treatment-in-breast-cancer-associated-factors-and-survival-impact
#7
Margaret Mariella, Charles W Kimbrough, Kelly M McMasters, Nicolas Ajkay
Time interval (TI) from breast cancer diagnosis to definitive surgery is increasing, but the impact on outcomes is not well understood. TI longer than 30 days is associated with a greater chance of delay of chemotherapy, which may impact survival. We sought to identify factors associated with longer TI and the influence on outcome measures. METHODS: We examined TI for stage 0-III breast cancer patients treated between 2006 and 2015 at a university-based cancer center. Univariate and multivariate analyses were used to study factors associated with TI <30, 30 to 60, and >60 days...
January 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29426972/depression-induced-by-total-mastectomy-breast-conserving-surgery-and-breast-reconstruction-a-systematic-review-and-meta-analysis
#8
REVIEW
Chengjiao Zhang, Guangfu Hu, Ewelina Biskup, Xiaochun Qiu, Hongwei Zhang, Haiyin Zhang
BACKGROUND: To carry out a systematic review and meta-analysis of the literature to determine whether different type of surgery induces different depression occurrence in female breast cancer at mean time more than 1-year term postoperatively. METHODS: A systematic literature search of PubMed, Web of Science, EMBASE, OvidSP, EBSCO and PsycARTICLES was conducted. Observational clinical studies that compared the depression incidence in different surgery groups and presented empirical findings were selected...
February 9, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29423974/usefulness-of-rapiplug-in-nipple-reconstruction-to-improve-nipple-projection
#9
Joon Seok Lee, Joon Hyun Kwon, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Jung Dug Yang
BACKGROUND: The final stage of breast reconstruction after mastectomy for breast cancer is nipple reconstruction. However, a consistent and reliable method resulting in the most ideal aesthetic results has yet to be clarified. This study analysed the long-term outcomes of nipple reconstruction using Rapiplug. METHODS: Forty-one patients who underwent immediate breast reconstruction after mastectomy between January 2014 and February 2017 were enrolled. Nipple reconstruction was performed with C-V flap and Hammond flap, and hat-shaped Rapiplug was implanted at the flap core...
February 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29422254/the-assisi-think-tank-meeting-and-survey-of-post-mastectomy-radiation-therapy-after-breast-reconstruction-the-attm-smart-report
#10
Cynthia Aristei, Orit Kaidar-Person, Luca Tagliaferri, Meritxell Arenas, Charlotte E Coles, Birgitte V Offersen, Giovanni Frezza, Maria Cristina Leonardi, Vincenzo Valentini, Céline Bourgier, Philip M P Poortmans
PURPOSE: To describe the current European practise on post-mastectomy radiation therapy (PMRT) in relation to breast reconstruction. METHODS: A 21-item questionnaire was distributed online via Survey Monkey. Items referred to 1. general topics (country, centre, years of experience in breast cancer); 2. clinical decision making; 3. RT techniques and dosimetry; 4. dose fractionation. RESULTS: 283 responses were received from 19 countries. Most responders worked in public health services and in academic institutions and had 5-20 years experience...
January 12, 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29419662/the-role-of-postmastectomy-radiation-therapy-in-patients-with-immediate-prosthetic-breast-reconstruction-a-meta-analysis
#11
Yun Pu, Tong-Chun Mao, Yi-Ming Zhang, Shao-Liang Wang, Dong-Li Fan
OBJECTIVE: The controversy remains as to whether immediate prosthetic breast reconstruction with postmastectomy radiation therapy (PMRT) is associated with acceptable complications and aesthetic outcomes. The aim of this meta-analysis was to provide a pooled analysis of comparative clinical studies that evaluated breast cancer patients who were treated with a mastectomy and an immediate prosthetic breast reconstruction to compare the complications and satisfaction of those who underwent or did not undergo PMRT...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29417143/accuracy-of-predictions-of-patients-with-breast-cancer-of-future-well-being-after-immediate-breast-reconstruction
#12
Clara Nan-Hi Lee, Michael Patrick Pignone, Allison M Deal, Lillian Blizard, Caprice Hunt, Ruth Huh, Yuen-Jong Liu, Peter Anthony Ubel
Importance: Making a good decision about breast reconstruction requires predicting how one would feel after the procedure, but people tend to overestimate the impact of events on future well-being. Objective: To assess how well patients predict future well-being after mastectomy, with or without immediate reconstruction, with the following a priori hypotheses: Patients will overestimate the negative impact of mastectomy and positive impact of reconstruction, and prediction accuracy will be associated with decision satisfaction and decision regret...
February 7, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29401131/secondary-mastopexy-after-nipple-sparing-mastectomy-and-staged-subcutaneous-expander-implant-reconstruction
#13
Arthur H Salibian, Jay K Harness, Donald S Mowlds
BACKGROUND: The acceptance of nipple-sparing mastectomy for the treatment of breast cancer in selected patients has introduced ancillary procedures to improve breast shape, correct ptosis, and enhance breast symmetry. Mastopexy before or at the time of nipple-sparing mastectomy has been performed to correct ptosis, but there have been no reports on secondary Wise pattern mastopexy after completion of staged subcutaneous expander/implant reconstruction. METHODS: Between 2005 and 2015, 155 patients (255 breasts) underwent staged subcutaneous implant/expander-based reconstruction after inframammary nipple-sparing mastectomy...
February 2, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29399731/complications-following-immediate-compared-to-delayed-deep-inferior-epigastric-artery-perforator-flap-breast-reconstructions
#14
J Beugels, L Bod, S M J van Kuijk, S S Qiu, S M H Tuinder, E M Heuts, A Piatkowski, R R W J van der Hulst
PURPOSE: As more breast cancer patients opt for immediate breast reconstruction, the incidence of complications should be evaluated. The aim of this study was to analyze the recipient-site complications and flap re-explorations of immediate compared to delayed deep inferior epigastric artery perforator (DIEP) flap breast reconstructions. METHODS: For this multicenter retrospective cohort study, the medical records of all patients who underwent DIEP flap breast reconstruction in three hospitals in the Netherlands between January 2010 and June 2017 were reviewed...
February 5, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29396899/predictive-factors-of-satisfaction-and-quality-of-life-after-immediate-breast-reconstruction-using-the-breast-q%C3%A2
#15
C Cereijo-Garea, S Pita-Fernández, B Acea-Nebril, R Rey-Villar, A García-Novoa, C Varela-Lamas, S Builes-Ramirez, T Seoane-Pillado, V Balboa-Barreiro
AIMS AND OBJECTIVES: To analyze quality of life and satisfaction after immediate breast reconstruction due to cancer and its determining factors. BACKGROUND: Studying breast reconstruction is important because of its frequency and variability. In addition to the surgical results, it is necessary to analyze the quality of life and patient satisfaction using a specific tool. DESIGN-METHODS: An ambispective design was used (n=101;α=0.05;precision=10%), studying anthropometric, socio-cultural data, Fagerström test, and the BREAST-Q© questionnaire...
February 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29394532/-a-case-of-breast-cancer-with-local-recurrence-in-the-reconstructed-breast-tissue
#16
Gen Tsujio, Shinichiro Kashiwagi, Takaharu Hatano, Yuka Asano, Wataru Goto, Koji Takada, Satoru Noda, Tsutomu Takashima, Naoyoshi Onoda, Hisashi Motomura, Kosei Hirakawa, Masaichi Ohira
The rate of local recurrence after mastectomy is reportedly similar to that of one-stage reconstruction. Most recurrences are in the skin or chest wall, while recurrence in the reconstructed breast is rare and the causes are uncertain. We report a case of a 42-year-old female who underwent partial mastectomy for left breast cancer with cT4aN0M1(PUL), cStage IV after endocrine therapy 3 years ago. Histopathological diagnosis was solid-tubular carcinoma. She had been treated with only endocrine therapy but diagnosed with local recurrence in the left breast...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29389700/breast-reconstruction-a-century-of-controversies-and-progress
#17
Antoine Homsy, Eva Rüegg, Denys Montandon, Georges Vlastos, Ali Modarressi, Brigitte Pittet
Breast cancer treatment has dramatically changed over the past century. Since Halsted's first description of radical mastectomy in 1882, breast reconstruction has evolved slowly from being considered as a useless or even dangerous procedure by surgeons to the possibility nowadays of reconstructing almost any kind of defect. In this review on the development of breast reconstruction, we outline the historical milestone innovations that led to the current management of the mastectomy defect in an attempt to understand the economic, social and psychological factors, which contributed to slow down its acceptance for several decades...
January 31, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29384865/postoperative-outcomes-of-breast-reconstruction-after-mastectomy-a-retrospective-study
#18
Qinghong Qin, Qixing Tan, Bin Lian, Qinguo Mo, Zhen Huang, Changyuan Wei
Breast reconstruction after mastectomy plays an active role in improving the quality-of-life (QoL) and alleviating the psychological trauma of breast cancer patients, and has become an indispensable part of the comprehensive treatment in breast cancer. However, compared with mastectomy alone, breast reconstruction also increase operative complications. The surgical, oncological outcomes, and cosmetic effect of breast reconstruction remains to be evaluated. Data for patients with breast cancer who underwent breast reconstruction after mastectomy from February 2009 to November 2015 in our hospital were retrospectively analyzed, with a median follow-up time of 44 months...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29383627/chronic-postsurgical-pain-following-breast-reconstruction-a-commentary-and-critique
#19
REVIEW
Randy S Roth
In line with other major surgeries including breast cancer surgery (BCS), recent studies suggest a striking rate of chronic postsurgical pain (CPSP) following breast reconstruction. This commentary will critically examine evidence for the degree to which the prevalence of CPSP following breast reconstruction is directly attributable to reconstructive surgery. The discussion will trace similarities and distinctions between breast reconstruction and BCS in considering the risk for CPSP, and describe recent advances in the definition of CPSP, highlighting methodological limitations in the general investigation of CPSP, which also characterize the study of CPSP more specifically for breast reconstruction outcome...
January 30, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29383613/surgical-risk-factors-for-the-delayed-initiation-of-adjuvant-chemotherapy-in-breast-cancer
#20
Luis A Riba, Ryan A Gruner, Aaron Fleishman, Ted A James
BACKGROUND: Timely administration of adjuvant chemotherapy for breast cancer is associated with a survival benefit. Specific elements of surgical management may lead to delays initiating chemotherapy, resulting in unfavorable outcomes. The purpose of this study was to determine the correlation between surgical factors and delayed chemotherapy in breast cancer patients. METHODS: A retrospective analysis of the National Cancer Database was performed. The study cohort consisted of female patients with stage 1-3 breast cancer diagnosed between 2010 and 2014...
January 30, 2018: Annals of Surgical Oncology
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