Immediate Reconstruction: General and Oncological Considerations

Dec 25, 2017 by in ONCOLOGY Comments Off on Immediate Reconstruction: General and Oncological Considerations

Fig. 27.1 Right nipple-sparing mastectomy with immediate reconstruction with latissimus dorsi and implant with post-operative radiotherapy – capsular contracture Fig. 27.2 Right immediate TRAM flap reconstruction with post-operative radiotherapy According to the current…

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Primary Systemic Therapy for Breast Cancer

Dec 25, 2017 by in ONCOLOGY Comments Off on Primary Systemic Therapy for Breast Cancer

Pro Contra In vivo sensitivity testing Fear of patients to leave the tumour in place Strong prognostic value of pCR Discrepancy in grading for core biopsy and definite specimen: risk…

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Axillary Node Clearance

Dec 25, 2017 by in ONCOLOGY Comments Off on Axillary Node Clearance

Fig. 24.1 Algorithm summarizing standard axillary management 24.2.2 Preoperatively Detected Axillary Metastases A direct AC without SLNB remains the standard of care in clinically node-positive breast cancer patients, with preoperatively detected…

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Surgery to the Breast: Mastectomy

Dec 25, 2017 by in ONCOLOGY Comments Off on Surgery to the Breast: Mastectomy

Mastectomy Removal of the totality of the glandular breast tissue (as opposed to breast-conserving surgery) Radical mastectomy (Halsted) Removal of the totality of the glandular breast tissue, overlying skin, nipple-areola…

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Breast Cancer Survivorship: Psychological Distress, Body Image, Sexuality and Importance of the Clinical Consultation

Dec 25, 2017 by in ONCOLOGY Comments Off on Breast Cancer Survivorship: Psychological Distress, Body Image, Sexuality and Importance of the Clinical Consultation

Fig. 59.1 Four-category model of attachment Each mental model varies from positive (trust in others: confidence in self) to negative (distrust of others: anxiety about self) and shapes individuals’ expectations…

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Breast Cancer Survivorship: Chronic Post-operative Pain and Sensory Changes

Dec 25, 2017 by in ONCOLOGY Comments Off on Breast Cancer Survivorship: Chronic Post-operative Pain and Sensory Changes

© Springer International Publishing AG 2018Lynda Wyld, Christos Markopoulos, Marjut Leidenius and Elżbieta Senkus-Konefka (eds.)Breast Cancer Management for Surgeonshttps://doi.org/10.1007/978-3-319-56673-3_58 58. Breast Cancer Survivorship: Chronic Post-operative Pain and Sensory Changes Tuomo J. Meretoja1   (1) Comprehensive Cancer Center, Breast Surgery Unit,…

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Supportive Care

Dec 25, 2017 by in ONCOLOGY Comments Off on Supportive Care

Khorana score for short-term risk of VTE Points Type of cancer Stomach, pancreas Lung, lymphoma, gynaecologic, bladder, testis Others 2 1 0 Platelet count <350 × 109/l ≥350 × 109/l 0 1 Haemoglobin ≥10 g/dl…

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