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There has been an exponential increase in the volume and quality of published research relating to breast disease over the past decades. This book identifies the 50 key scientific articles in the field of breast disease and breast surgery and examines their importance and impact on current clinical care.Among thousands of articles, a small fraction are truly'game changing'. Such studies form the foundations of breast surgery today, and the selection of papers within this book provide the 50 landmark papers every 21st-century breast surgeon needs to know. A commentary to each carefully selected paper explains why these papers are so important, thus providing every surgeon with the foundation stones of knowledge in this fast-moving area.A valuable reference not only to the established surgeon, but also to breast surgery residents and trainees, as well as to more experienced surgeons as they continue to learn new techniques and approaches and to improve their knowledge of breast disease and treatments. The papers provide an evidence-based resource for those surgeons preparing for professional exams and may inspire clinicians to produce new research.

This volume is a contemporary guide to the management of breast diseases, both benign and malignant. This multidisciplinary resource includes significant expertise from the disciplines of radiology, pathology, oncology, psychology, and nursing care, as well as insights from plastic surgeons and other allied health professionals.With a focus on practical patient management, the book takes a problem-based learning approach and includes strategies to tackle clinical challenges which, whilst seen in practice, are often poorly understood and taught.Each chapter succinctly covers the seminal evidence-based literature whilst placing this within a patient-centred context. The multidisciplinary approach reflects contemporary clinical practice.Breast surgeons, surgeons in training positions, and the wider multidisciplinary breast management team will all benefit from this authoritative guide.

Over the last several decades breast cancer management has made great strides in the improvement of oncologic treatment outcomes, particularly so in patients with early stage disease. While wide-spread access to screening resulting in early detection is undoubtedly to be credited for this trend, at the same time, the management of breast cancer has evolved to be an intricate multidisciplinary collaboration between breast imagers, surgeons, medical oncologists and radiation oncologist. As a result, with better mutual understanding of multidisplinary goals and challenges, the treatment strategies have become more individualized, with a great emphasis being placed on the intrinsic disease biology. Furthermore, the indications for neoadjuvant systemic therapy have significantly broadened, with a substantial number of patients with early stage breast cancer being able to take advantage of this strategy to decrease the extent of breast surgery they would undergo at its completion.As such, the management of the axilla in these patients has presented with new challenges as well as with new opportunities to scale down on the extent of local therapy and, consequently, its toxicity.This text will provide a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians (surgeons, medical oncologists, radiation oncologists) and researchers with an interest in breast cancer. The book will review novel and evoling strategies in neoadjuvant systemic therapy forn early stage breast cancer, provide new perspectives about appropriate axillary imaging in anticipation of neoadjuvant systemic therapy, and describe new data on innovative surgical techniques and Radiation Oncology concepts designed to deescalate the extent and toxicity of local therapy while insuring oncologic safety. Several landmark clinical trials have been published in the last few years and will be placed in context with respect to current management. Integration of novel diagnostic and interventional breast imaging, local therapy (surgery and radiation) with contemporary systemic therapy will also be discussed. This text will serve as a very useful resource for physicians and researchers dealing with, and interested in, this challenging field. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters will be written by experts in their fields and will include the most up to date scientific and clinical information.

Lymphatic mapping techniques have proven to be useful to the early detection and safe treatment of endometrial and cervical cancers; however, the techniques have much of value to offer for breast cancer also and particularly for vulvar cancer, where there has been an explosion of interest and research. In the new edition of Clinical Lymphatic Mapping of Gynecologic Cancers, the techniques are fully explained, with consideration of the latest developments and technologies.

Breast cancer is a disease requiring multidisciplinary management including surgery, medical and radiation oncology, radiology, pathology, nuclear medicine, genetic counseling, and psychological support. Each member of the team needs to be updated continuously on breast cancer treatment because of its rapidly changing nature. From the diagnostic procedures to operations and even in metastatic stages of breast cancer, surgeons play an essential part in multidisciplinary teams. After standard surgical options, oncoplastic breast surgery is rapidly becoming one of the most important surgical topics that should be learned by attending surgeons. The idea of writing this book stemmed from a collaboration between the European Academy of Senology (EAoS), European Institute of Oncology (IEO), Euro-Asian Society of Mastology (ESOMA), and SENATURK (Turkish Academy of Senology), which have been working together to promote better training in breast care for professionals. The book offers invaluable support for breast surgeons by covering critical and essential information in senology. It will also greatly benefit the other members of multidisciplinary teams, surgery residents, gynecologists, and plastic and reconstructive surgeons.

Oncoplastic and Reconstructive Management of the Breast, Third Edition provides a comprehensive and contemporary account of techniques in oncoplastic and reconstructive breast surgery. Uniquely, this book includes short, concise chapters containing only the most critical information. Many of the chapters are entitled'My Approach'and this enables the reader to gain an insight into the clinical practice of the world's breast disease experts. The true multidisciplinary nature of the book ensures that the perspectives of all members of the breast cancer team are included. This transfer of knowledge between disciplines leads to improved patient care and the integration of multidisciplinary treatment, thus providing an educational and practical multidisciplinary breast cancer book for practicing breast cancer doctors, and trainees worldwide.

This book demonstrates why oncoplastic and reconstructive surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and numerous techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos of procedures can be accessed via the publisher's website. This second edition of Oncoplastic and Reconstructive Breast Surgery has been completely revised and updated. More than 25 additional chapters have been included, and new videos of surgeries made available, with the aim of making this already very successful book truly comprehensive, and the most complete reference on the subject – a true classic. The new edition entails close collaboration betweensome of the most important centers for breast cancer treatment and research worldwide. It will be an ideal resource for surgical fellows and specialists wishing to learn about indications and the selection of patients, to master technical skills, and to manage complications effectively.

This book focuses on the lobar anatomy of the breast and on the sick lobe concept – a novel theory of breast cancer development that is gaining ever wider acceptance – and explores their significance for innovative surgical treatment. Special attention is paid to the role of ductal echography, a technique capable of clearly depicting the structures of cancer in relation to the structures of the sick lobe. Having established a sound theoretical and practical basis through detailed coverage and correlation of anatomy, pathology, and imaging appearances, the book goes on to describe a revolutionary surgical approach particularly suitable for the treatment of multifocal and multicentric breast carcinomas. Such tumors account for more than a third of all cases of breast carcinoma and are often treated by mastectomy. The proposed new breast-conserving technique yields excellent cosmetic results and entails a very low risk of recurrence. The book will appeal to a wide readership, includingradiologists, surgeons, oncologists, pathologists, as well as residents.

This textbook provides a comprehensive overview of the state of the art knowledge of breast cancer management for the modern breast surgeon. It covers all aspects of multidisciplinary care including primary breast and axillary surgery, reconstruction and oncoplastic techniques, external beam radiotherapy and newer techniques such as tomotherapy, intraoperative radiotherapy and brachytherapy. In addition, systemic therapies including chemotherapy, the latest biological targeted therapies and endocrine therapies are covered. Readers can find out about other important aspects of breast cancer such as genetics, screening, imaging and long-term health among others.Chapters take the reader through the basics up to the highest levels of knowledge in an easy to understand format with management algorithms to aid clinical care, generous referencing of the best literature and figures and photographs to illustrate each section. Published with the official approval of the European Society of Surgical Oncology (ESSO) and the European Society of Breast Cancer Specialists (EUSOMA), the book is written by a panel of recognised leaders in the field and is an indispensable guide for the practicing breast specialist and senior specialists in training, wishing to update their knowledge with the latest trends or polish off their training before accreditation.

This book introduces oncoplastic surgery as an interdisciplinary branch of oncological surgery that integrates theories and technologies in oncological surgery, plastic surgery and microsurgery with characteristics of planned radical resection of tumors and one-stage repair and reconstruction of surgical defects on the basis of multidisciplinary treatment (MDT) of tumors. Consisting of 23 chapters, the book covers a range of surgical topics related to oncoplastic surgery in clinical disciplines, with a focus on oncology surgery, plastic surgery, microsurgery, vascular surgery, otolaryngology-head and neck surgery, neurosurgery, oral and maxillofacial surgery, breast surgery, urinary surgery, gynecologic oncology, bone surgery, thoracic surgery and abdominal surgery. In most of the surgical cases oncology surgery is combined with plastic surgery. The book summarizes the basic theories and clinical experiences in oncoplastic surgery, focusing on repair and aesthetic reconstruction after tumor removal, which increases patients'survival rate and significantly improves their quality of life. It is a valuable reference resource for tumor surgeons, plastic surgeons, head and neck surgeons, breast surgeons as well as surgeons in other relevant fields.

FOUR STARS from Doody's Star Ratings™This second edition of Partial Breast Reconstruction: Techniques in Oncoplastic Surgery builds on and expands the authoritative procedures presented in the first edition, adding and updating the content with up-to-the-minute concepts, techniques, and innovations in oncoplastic breast surgery, all elucidated with hundreds of color images and illustrations.This edition offers readers the following:A breadth of topics presented by internationally recognized experts from a range of disciplines from the U.S., Europe, United Kingdom, and South AmericaA systematic chapter structure that provides patient presentation, workup, surgical techniques, and follow-up for each approachEmphasis on the essential contributions of all members of the multidisciplinary teamExtensive coverage of oncologic principles, indications, psychological considerations/body image, the challenges of radiotherapy, and postoperative surveillancePrevention and correction of BCT deformitiesExploration of the risks and benefits of delayed versus immediate reconstructionReduction and mastopexy techniques with parenchyma autoaugmentation, central defect reconstruction, fat grafting, and local and perforator flap reconstruction techniquesOutcomes presented as the ultimate proof of the validity of each technique, with long-term follow-upTreatment of complicationsProvided in both printed and e-book formats, with multiple videos of techniquesAs the oncoplastic approach to partial breast reconstruction continues to grow exponentially in popularity as a reliable treatment option, the updated information provided in this comprehensive new edition is absolutely essential to every surgeon performing partial breast reconstruction for women with breast cancer.

This book, written by leading international experts in the field, offers a comprehensive overview of the latest developments in breast reconstruction. A particular feature is the presentation of a multitude of new clinical techniques, with high-quality supporting illustrations. The opening sections document the history of breast reconstruction, describe the anatomy of the pectoral muscles, pectoral nerves and perforator flaps and provide guidance on preoperative imaging and planning. After full documentation of techniques (including use of autogenous tissues and prosthetic implants), further sections are devoted to the effects of chemotherapy and radiation, the role of angiography and thermography, monitoring, quality of life outcomes and complications and their management. The book will be invaluable both for residents and fellows and for practicing and highly experienced cosmetic surgeons, plastic surgeons, general surgeons, and those in cosmetic surgical subspecialties.

This book presents 50 cases, encompassing a broad range of oncoplastic breast surgeries. Each case is dedicated to a particular surgical technique, using classifications of “good, bad, and ugly” to point out potential pitfalls and to optimize post-surgery results. With the help of more than 500 high-quality illustrations and photos and detailed step-by-step instructions the editors, respected experts in their field, describe the most common procedures. Now in its second edition, this comprehensive surgical atlas provides practical guidance for various oncoplastic techniques used in breast conservation surgery and mastectomy with immediate reconstruction.The book will be a valuable resource not only for surgeons specialized in breast cancer therapy, but also for general surgeons and gynecologists as well as for plastic and reconstructive surgeons.

This book presents the most recent developments in oncologic breast surgery and takes full account of diagnostic, pathologic, and radiologic inputs. It is divided into three parts, the first of which discusses the premises underlying the modern surgical approach to breast cancer. The second part is devoted to what might be termed the conservative program, i.e., breast conservation and oncoplastic surgery, conservative mastectomy, and sentinel node biopsy and axillary dissection. The final part of the book covers different forms of surgery and other treatments in particular settings. Topics include plastic and reconstructive surgery, DCIS surgery, radio-guided surgery, adjuvant systemic therapy, intraoperative radiotherapy, and the role of surgery in locally advanced and metastatic disease. The detailed descriptions of techniques are accompanied by numerous high-quality illustrations. This book will be of value to both experienced practitioners and surgical trainees. ​

This issue of Surgical Oncology Clinics of North America is devoted to'Breast Cancer'and is edited by Lisa Newman, MD, of the University of Michigan. Expert authors in this issue review this topic in articles such as: Applications for Breast MRI; Lobular Neoplasia; Epidemiology of Breast Cancer; Percutaneous Ablation of Breast Tumors; Triple Negative Breast Cancer and the Basal Breast Cancer Subtype; Molecular Profiling of Breast Cancer; Surgical Leadership and Standardization of Multidisciplinary Breast Cancer Care; Neoadjuvant/Primary Systemic Therapy for Breast Cancer; Management of the Clinically Node-Negative Axilla in Patients with Primary and Locally-Recurrent Breast Cancer; Management of the Axilla in Patients with Node-Positive Breast Cancer; Prophylactic Bilateral Mastectomy and Contralateral Prophylactic Mastectomy; Advances in Reconstruction of Mastectomy and Lumpectomy Defects; Nipple-Sparing Mastectomy; and Breast Cancer Disparities.

Oncoplastic and reconstructive surgery combines the most up-to-date techniques in plastic surgery with surgery for breast cancer, providing optimal oncologic and aesthetic results by means of a single procedure. This book demonstrates why oncoplastic surgery represents such an exciting tool for surgeons who undertake breast surgery. Fundamental principles and basic concepts are clearly outlined, and diverse techniques are presented by acknowledged experts from across the world. The emphasis is very much on a “how to do” approach, with detailed guidance and advice on the various techniques. The informative text is supported by a wealth of color illustrations, and accompanying videos of procedures are available via the publisher's website. Reconstructive Breast Cancer Surgery will serve as an ideal reference work that will help surgical fellows and specialists to learn about indications and selection of patients, to master technical skills, and to manage complications effectively.

La nueva edición de la obra'Técnicas oncoplásticas en el tratamiento quirúrgico del cáncer de mama'amplia su contenido para cubrir todo el espectro de las técnicas oncoplásticas: técnicas de conservación mamaria y técnicas reconstructivas. Se incluyen un total de 12 nuevos capítulos respecto a la edición anterior, los cuales siguen una estructura eminentemente didáctica y basada en casos clínicos. El contenido del libro se complementa por material multimedia al cual se accederá a través de una página web. Dicho material está compuesto por 52 vídeos, 35 casos clínicos con imágenes y una galería con todas las imágenes del libro. Colaboran en esta nueva edición destacados expertos de las unidades de mama de los distintos hospitales de referencia de España, así como reconocidos cirujanos de Latinoamérica y que proceden de países como México, Argentina, Perú, Venezuela, Ecuador y República Dominicana. La nueva edición de la obra'Técnicas Oncoplásticas en el Tratamiento Quirúrgico del Cáncer de Mama'amplia su contenido para cubrir todo es espectro de las técnicas oncoplásticas: técnicas de conservación mamaria y técnicas reconstructivas. Se incluyen un total de 12 nuevos capítulos respecto a la edición anterior, los cuales siguen una estructura eminentemente didáctica y basada en casos clínicos. El contenido del libro se complementa por material multimedia al cual se accederá a través de una página web. Dicho material está compuesto por 52 vídeos, 35 casos clínicos con imágenes y una galería de imágenes compuesta por todas las imágenes del libro. Colaboran en esta nueva edición destacados expertos de las unidades de mama de los distintos hospitales de referencia de España, así como reconocidos cirujanos de Latinoamérica y que proceden de países como México, Argentina, Perú, Venezuela, Ecuador y República Dominicana.

Oncoplastic breast cancer surgery is one of the fastest-growing domains in breast surgery. This approach is continuing to gain practice acceptance due to increased emphasis on both optimum cosmetic outcome and maintenance of a sound oncologic basis. This book summarizes the basic principles and techniques using evidence-based data. Patient images and comprehensive drawings complete this practical guide for surgeons who treat diseases of the breast.

Représentant un tiers des nouveaux cas de cancer, le cancer du sein est à l'origine de 20% des décès féminins par cancer. L'importance de cette pathologie, dont la prise en charge thérapeutique passe essentiellement par l'intervention chirurgicale, nécessitait un ouvrage de référence. Cette chirurgie en pleine évolution, désormais plus conservatrice et esthétique, privilégiant la tumorectomie à la mastectomie, fait appel à des techniques nombreuses et complexes. Cet ouvrage guide le chirurgien pas à pas pour l'apprentissage de ces différentes techniques. Après un rappel anatomique, l'ouvrage présente les différentes chirurgies d'exérèse, l'oncoplastie, les différentes reconstructions et les spécificités liées aux lambeaux. Le lipomodelage, les séquelles esthétiques et la radiothérapie locale, la prise en charge des patientes à haut risque et le sein de l'homme font l'objet de développements spécifiques. Fidèle aux principes qui ont fait le succès de la collection Techniques chirurgicales, cet ouvrage est pratique et didactique, rédigé dans un style synthétique et surtout très richement illustré : il comporte près de 500 photographies et 250 dessins chirurgicaux d'une qualité exceptionnelle. Pour accéder au complément en ligne de cet ouvrage, 21 vidéos d'interventions chirurgicales, toutes commentées, cliquez ici.Un ouvrage de référence guidant le chirurgien pas à pas dans l'apprentissage des techniques chirurgicales complexes. - Un rappel anatomique. - Les différentes chirurgies d'exérèse, l'oncoplastie, les différentes reconstructions et les spécificités liées aux lambeaux. - Le lipomodelage, les séquelles esthétiques et la radiothérapie locale, la prise en charge des patientes à haut risque et le sein de l'homme. - 500 photographies et 250 dessins chirurgicaux d'une qualité exceptionnelle. - Un complément en ligne particulièrement pédagogique : 21 vidéos d'interventions chirurgicales commentées.

This book is a timely publication capturing recent developments in the fields of oncoplastic surgery and whole breast reconstruction. The highly successful first edition has been completely updated and expanded by leading oncologists and surgeons, with key features including: A comprehensive account of surgical techniques with over 300 colour figur

This issue of the Surgical Oncology Clinics will focus on new advances in Breast Cancer Surgery, and will include articles on Chemoprevention, Breast MRI, Genomics, Sentinel Node Biopsy, Extra-axillary Sentinel Nodes, Skin-Sparing and Nipple Sparing Mastectomy, Oncoplastic Techniques, Neoadjuvant Hormonal Therapy, Neoadjuvant Chemotherapy, Adjuvant Hormonal Therapy, Adjuvant Chemotherapy, and Biologic Targeted Therapies.

The initial idea to write a book on oncoplastic techniques was raised through a meeting on breast cancer treatment in Saalfelden, A- tria two years ago. Contrary to the rather minor role breast surgery is conceded today compared to other treatment modalities the s- geons role on the further outcome of the disease is crucial and never compensated by radiation or adjuvant therapy. Whereas surgery a decade ago was merely excision of the cancer and closure of the wound leaving behind a mutilated breast in many women, the advent of oncoplastic surgery completely changed the modern surgical approach to breast cancer. The concept of oncoplastic breast surgery combines oncologic - mor resection - either breast conservation or mastectomy - with t- ditional or less traditional plastic surgical techniques. The primary goal is to achieve an optimal cosmetic result with long time local tumor control. Some (non – randomized) studies available in patients following breast conservation oncoplastic surgery showed tumor resection to be associated with wider free margins, less patients needing re-operation surgery for involved or close margins, a widening of the indications for breast conser- tion surgery, a low complication rate and at least an equal local recurrence rate. There is no doubt that oncoplastic breast surgery experienced a r- id rise with more patients demanding this kind of surgery. However, a profound knowledge of the different oncoplastic techniques is - sential for the outcome.

'Oncoplastic and Reconstructive Surgery for Breast Cancer'describes the reconstructive techniques that have been refined over the past decade by surgeons in a very high volume unit. It provides clear descriptions of all the available techniques. With proven experience in the procedures described and detailed scientific evaluation, it furthermore provides evidence-based literature reviews. The book starts with the relevant anatomical background and passes through all the major oncoplastic and reconstructive procedures available to the breast cancer patient. It includes management of breast and nipple-areolar complex reconstruction in addition to symmetrising surgery and the new technique of fat transfer. It also covers all multidisciplinary aspects and genetics thus giving an up-to-date status report.

This new volume in the Surgical Foundations series delivers need-to-know, current information in breast surgery in an exceptionally economical and user-friendly format. Coverage encompasses everything from anatomy and physiology, evaluation of breast symptoms...to discussions of breast cancer risk and management of breast cancer, equipping you to face any challenge with confidence. Whether reviewing key material in preparation for a procedure or studying for the boards, this is an invaluable resource in training and practice.Presents coverage that encompasses anatomy and physiology, evaluation of breast symptoms, breast cancer risk, and management of breast cancer to equip you to face any challenge with confidence. Addresses hot topics including gynecomastia, neoadjuvant therapy, management of ductal carcinoma in situ and Paget's disease, risk assessment and genetic testing, breast MRI, partial breast irradiation, microarray analysis, and targeted therapies...providing you with a current perspective on this fast changing field. Begins each chapter with a bulleted list of key points, and presents crucial facts in boxes, to help facilitate review. Features abundant illustrations, photographs, and tables that clarify complex concepts. Follows a concise, logical, and consistent organization that makes the material easy to review.

Das Mammakarzinom ist die häufigste Krebserkrankung der Frau. Beträchtliche chirurgische Fortschritte der letzten Jahre haben sowohl eine günstigere Prognose als auch verbesserte kosmetische Ergebnisse bewirkt. Auf diese wird konzise eingegangen und ein Überblick über derzeit gängige interventionelle, resektive und onkoplastische Konzepte geboten. Neben den präsentierten Konzepten werden aber etablierte Therapien durch zum Teil noch experimentelle operative und strategische Modalitäten ergänzt: Einerseits ist es notwendig, Standards und Qualitätsnormen darzulegen und auf ihre Etablierung hinzuweisen. Andererseits ist das chirurgische Wissen - und darauf aufbauende Behandlungsstrategien – ständig im Fluss. Wesentliches Gewicht des Buches liegt auf dem, was über das evidenz-basiert Bewährte hinausgeht. Dieses Kompendium modernster operativer Behandlungskonzepte bietet dem Chirurgen eine kompetente Hilfe beim Management von Brustkrebs-Patientinnen.

Includes index.

Um eine optimale Planung vor einer Operation zu gewährleisten, ist eine wenig invasive Biopsiemethode unter Vermeidung einer offenen Biopsie bei gleicher Sicherheit notwendig. Gleiches trifft zu, wenn zunächst nicht operiert, sondern eine präoperative neoadjuvante Chemo- oder Hormontherapie durchgeführt werden soll. Die unter Ultraschall durchgeführte Stanzbiopsie stellt hierfür eine exzellente Methode mit hoher Treffsicherheit dar. In kurzer und prägnanter Form wird die praktische Durchführung der histologischen Abklärung von Brustdrüsenveränderungen durch die Hochgeschwindigkeits-Stanzbiopsie dargestellt. Die einzelnen Schritte zum Erlernen dieser Methode werden durch eine Vielzahl von Bildbeispielen verdeutlicht. Im zweiten Teil des Taschenbuches wird die praktische Durchführung der präoperativen Drahtmarkierung non-palpabler Herdbefunde in der Brust sowie die intraoperative Kontrolle der Entnahme durch die Präparatsonographie wiederum anhand einer großen Anzahl von Bildbeispielen vorgestellt. Im dritten Abschnitt des Buches werden Übungsmöglichkeiten an Phantomen demonstriert. Indikationen, Kontraindikationen, Komplikationsmöglichkeiten und praktische Tipps sowie Literaturquellen ergänzen die Ausführungen.

This handbook is a review of radioguided surgical procedures, including sentinel node mapping and biopsy described by experts in the field. It is a practical guide for the practicing surgeon and other clinicians who will provide the majority of clinical care for breast cancer and other diseases and who therefore must be able to safely and effectively perform these procedures for their patients.

A practical guide for women to accelerate and ease recovery from breast cancer surgery and other breast-related surgeries offers exercises to strengthen the body and relieve pain, uses real women's stories as examples, and addresses emotional issues involved.