Breast Surgery

J Michael Dixon

Description

Breast Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities.

This is a title in the Companion to Specialist Surgical Practice series whose eight volumes are an established and highly regarded source of information for the specialist general surgeon.

• The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within each major surgical sub-specialty.
• Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter.

• An expanded authorship team across the series includes additional European and World experts with an increased emphasis on global practice.
• The contents of the series have been extensively revised in line with recently published evidence.
• A new chapter covers advances in breast reconstruction.
• The extended chapter on imaging includes the controversies surrounding breast screening.
• A more detailed discussion of the management of nipple discharge including ductoscopy is included in a new chapter.
• The dramatic changes on the management of the axilla and the controversial Z0011 trial are covered in a new chapter

Informations

• Publié par: Saunders Ltd.
• Date de parution: 22 juin 2013
• Nombre de lectures: 0
• EAN13: 9780702049675
• Langue: English
• Poids de l'ouvrage: 16 Mo

Extrait

Breast Surgery

A Companion to Specialist Surgical Practice

FI FTH EDI TI O N

J. Michael Dixon, BSc(Hons) MBChB MD FRCS FRCSEd FRCPEd(Hon)

Table of Contents

Cover image

Title page

Copyright

Contributors

Series Editors' preface

Editor's preface

Evidence-based practice in surgery

Chapter 1: The role of imaging in breast diagnosis including screening and excision of impalpable lesions

Introduction

Imaging in symptomatic breast practice

Breast imaging techniques

Breast cancer screening

Image-guided breast biopsy

Surgery for clinically occult breast lesions

Oncoplastic considerations for screen-detected lesions

Chapter 2: Pathology and biology of breast cancer

Introduction

Traditional factors

Molecular/predictive factors

Histopathology of patients with BRCA1 and BRCA2 mutations

High-throughput molecular techniques as prognostic and predictive tools in breast cancer

Clinical use of the high-throughput molecular techniques

Clinical use of prognostic factors in patient management

Conclusion

Contents of the final surgical pathology report: the minimum dataset

Chapter 3: Nipple discharge and the role of ductoscopy in breast diseases

Introduction

Causes of nipple discharge

Assessment

Conventional surgery

Mammary ductoscopy and nipple discharge

History and technology

Technical considerations

Intraduct appearances

Pathological considerations

Limitations

Ductoscopy and breast cancer

Chapter 4: Breast-conserving surgery: the balance between good cosmesis and local control

Introduction

Selection of patients for breast conservation

Breast-conserving surgery

Factors affecting local recurrence after breast-conserving surgery

Factors influencing cosmetic outcome after breast-conserving surgery

Significance and treatment of local recurrence

Chapter 5: Techniques of mastectomy: tips and pitfalls

Introduction

General considerations

Considerations for simple mastectomy

Considerations for mastectomy with immediate reconstruction

Flap necrosis

Radical mastectomy

Chapter 6: Oncoplastic procedures to allow breast conservation and a satisfactory cosmetic outcome

Part 1 Volume replacement techniques to improve cosmetic outcomes after breast-conserving surgery

Part 2 Breast displacement techniques to increase resection volumes for breast- conserving surgery

Chapter 7: The axilla: current management including sentinel node and lymphoedema

Introduction

Sentinel lymph node biopsy: technique

Sentinel lymph node biopsy: controversial situations

Isolated tumour cells and micrometastases

Non-sentinel node metastases

Complications of axillary surgery

Imaging techniques

Management of lymphoedema (see Box 7.1)

Conclusion

Chapter 8: The genetics of breast cancer, risk-reducing surgery and prevention

Introduction

Genetic predisposition

Genetic testing

Breast cancer risk estimation

Management options

Genetic counselling and the family history clinic

The RRM protocol

Surgical consultation

Risk-reducing surgery and breast reconstruction

Follow-up

Uptake

Psychosocial consequences of RRM

Surgery for high-risk women with established breast cancer

Bilateral risk-reducing salpingo-oophorectomy

Use of chemopreventive agents

Acknowledgement

Chapter 9: Breast reconstruction

Introduction

Timing

Techniques

Finishing touches

Summary

Chapter 10: Breast cancer: treatment of uncommon diseases

Introduction

Pregnancy-associated breast cancer

Male breast cancer (Fig. 10.2)

Paget's disease of the breast (Fig. 10.3)

Other breast malignancies

Chapter 11: Treatment of ductal carcinoma in situ

Background

Risk factors, natural history, pathology and receptors

Presentation, investigation and diagnosis

Treatment: mastectomy versus breast-conserving surgery

Recurrence: rates and predictors

Adjuvant therapy

Follow-up and prognosis

Management of recurrence

DCIS of the male breast

The future

Chapter 12: The role of adjuvant systemic therapy in patients with operable breast cancer

Introduction

Adjuvant endocrine therapy

Adjuvant chemotherapy

Bisphosphonates

Trastuzumab (Herceptin)

Conclusion

Chapter 13: Locally advanced breast cancer

Introduction

Surgical management

Radiotherapy

Systemic treatment

Chapter 14: Metastatic disease and palliative care

Introduction

Staging

Treatment

Overall care of the patient approaching death

Recognition and communication that the patient may be dying

Chapter 15: The role of adjuvant radiotherapy in the management of breast cancer

Introduction

Advances in radiotherapy planning and delivery

The role of adjuvant radiotherapy in ductal carcinoma in situ (DCIS)

Is there a role for a boost dose after whole-breast irradiation for DCIS?

Role of adjuvant radiotherapy in invasive breast cancer

Impact of adjuvant whole-breast radiotherapy on quality of life

Hypofractionated dose fractionation regimens

Partial breast irradiation

Postmastectomy irradiation

Role of postmastectomy radiotherapy in intermediate risk breast cancer

Adjuvant radiotherapy in older patients

Axillary irradiation

Minimising radiation-induced cardiac morbidity

Chapter 16: Psychosocial issues in breast cancer

Introduction

Delay in presentation

Psychosocial issues with breast cancer surgery

Ductal carcinoma in situ

Hormone therapy

Conclusion

Summary

Chapter 17: Benign breast disease

Introduction

Congenital abnormalities

Aberrations of normal breast development and involution

Non-ANDI conditions

Miscellaneous benign lesions

Common complications of cosmetic breast surgery

Assessment of patients with benign breast disease

Future management of benign breast disease

Chapter 18: Litigation in breast surgery

Introduction

Basic principles

Delay in the diagnosis of breast cancer

Diagnosis of breast cancer

Vignettes on breach of duty

Delay in diagnosis: causation issues

Vignettes on causation

Poor cosmetic outcome

Risk management

Index

Copyright

Fifth edition © 2014 Elsevier Limited. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website:www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). First edition 1997 Second edition 2001 Third edition 2005 Fourth edition 2009

Fifth edition 2014

ISBN 978-0-7020-4959-0

e-ISBN 978-0-7020-4967-5

British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.