keyword
https://read.qxmd.com/read/38412359/breast-implant-associated-anaplastic-large-cell-lymphoma-evidence-based-consensus-conference-statement-from-the-american-association-of-plastic-surgeons
#21
JOURNAL ARTICLE
Mark W Clemens, Terence Myckatyn, Arianna Di Napoli, Andrew L Feldman, Elaine S Jaffe, Cara L Haymaker, Steven M Horwitz, Kelly K Hunt, Marshall E Kadin, Colleen M McCarthy, Roberto N Miranda, H Miles Prince, Fabio Santanelli di Pompeo, Sari D Holmes, Linda G Phillips
BACKGROUND: In the absence of high-quality evidence, there is a need to provide guidelines and multidisciplinary consensus recommendations on Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). The purpose of this expert consensus conference was to evaluate the existing evidence regarding the diagnosis, and management of BIA-ALCL caused by textured implants. The aim is to provide evidence-based recommendations regarding the management and prevention of BIA-ALCL. METHODS: A comprehensive search was conducted in the MEDLINE, Cochrane Library, and Embase databases, supplemented by manual searches of relevant English language articles and "related articles" sections...
February 27, 2024: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38401199/flap-neurotisation-improves-sensation-outcomes-in-abdominally-based-autologous-breast-reconstruction-a-systematic-review-and-meta-analysis
#22
REVIEW
Parand Tajziehchi, Nirmal Dayaratna, Briona E Holten, Joseph R Dusseldorp
BACKGROUND: Flap neurotisation is a promising solution to restore the diminished or complete loss of sensation following mastectomy. This systematic review compared sensory outcomes in neurotised versus non-neurotised abdominal-based autologous breast reconstructions to establish its benefit in routine clinical practice. METHODS: A literature search was performed according to the PRISMA guidelines. Medline, PubMed, EMBASE, and Cochrane databases were queried for relevant studies...
February 8, 2024: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38398134/surgical-de-escalation-for-re-excision-in-patients-with-a-margin-less-than-2-mm-and-a-diagnosis-of-dcis
#23
JOURNAL ARTICLE
Gianluca Vanni, Marco Pellicciaro, Nicola Di Lorenzo, Rosaria Barbarino, Marco Materazzo, Federico Tacconi, Andrea Squeri, Rolando Maria D'Angelillo, Massimiliano Berretta, Oreste Claudio Buonomo
The current surgical guidelines recommend an optimal margin width of 2 mm for the management of patients diagnosed with ductal carcinoma in situ (DCIS). However, there are still many controversies regarding re-excision when the optimal margin criteria are not met in the first resection. The purpose of this study is to understand the importance of surgical margin width, re-excision, and treatments to avoid additional surgery on locoregional recurrence (LRR). The study is retrospective and analyzed surgical margins, adjuvant treatments, re-excision, and LRR in patients with DCIS who underwent breast-conserving surgery (BCS)...
February 10, 2024: Cancers
https://read.qxmd.com/read/38393398/radiotherapy-statements-of-the-18th-st-%C3%A2-gallen-international-breast-cancer-consensus-conference-a%C3%A2-german-expert-perspective
#24
REVIEW
David Krug, Maggie Banys-Paluchowski, Sara Y Brucker, Carsten Denkert, Nina Ditsch, Peter A Fasching, Renate Haidinger, Nadia Harbeck, Jörg Heil, Jens Huober, Christian Jackisch, Wolfgang Janni, Hans-Christian Kolberg, Sibylle Loibl, Diana Lüftner, Marion van Mackelenbergh, Julia C Radosa, Toralf Reimer, Manfred Welslau, Rachel Würstlein, Michael Untch, Wilfried Budach
PURPOSE: To summarize the radiotherapy-relevant statements of the 18th St. Gallen Breast Cancer Consensus Conference and interpret the findings in light of German guideline recommendations. METHODS: Statements and voting results from the 18th St. Gallen International Breast Cancer Consensus Conference were collected and analyzed according to their relevance for the radiation oncology community. The voting results were discussed in two hybrid meetings among the authors of this manuscript on March 18 and 19, 2023, in light of the German S3 guideline and the 2023 version of the Arbeitsgemeinschaft Gynäkologische Onkologie (AGO) guidelines...
February 23, 2024: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://read.qxmd.com/read/38389650/complications-after-breast-augmentation-with-dermal-fillers-containing-copolyamide-a-systematic-review
#25
JOURNAL ARTICLE
Karin Hedström, Alberto Falk-Delgado, Helena Sackey
BACKGROUND: Dermal fillers containing copolyamide are used for breast augmentation and are marketed under different labels, such as Aquafilling, Los Deline, Aqualift, and Activegel. In recent years, the number of publications reporting complications after use of these fillers has increased. METHODS: Through a computerized search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review of published studies on complications, treatment options, and radiological findings related to breast augmentation with dermal fillers containing copolyamide was performed...
June 2024: JPRAS Open
https://read.qxmd.com/read/38386590/allergic-contact-dermatitis-to-octyl-cyanoacrylate-skin-glue-after-surgical-wound-closure-a-systematic-review
#26
REVIEW
Chaitanya Dev Pannu, Kamran Farooque Md
<u> <i/> </u> The rising incidence of allergic contact dermatitis (ACD) after cyanoacrylate adhesive use necessitates a comprehensive understanding of its clinical presentations, risk factors, and management. In this systematic review, we conducted an exhaustive search following PRISMA guidelines within Medline and PubMed databases to identify studies reporting cases of ACD resulting from cyanoacrylate adhesive application in wound closure. A total of 47 studies, covering 193 ACD cases, were included in our analysis...
February 21, 2024: Dermatitis
https://read.qxmd.com/read/38381032/autologous-breast-reconstruction-in-low-and-middle-income-countries-lmics-a-systematic-review-of-current-practices-and-challenges
#27
JOURNAL ARTICLE
Viraj Shah, Chien L Soh, Karanjot Chhatwal, Joanna Kucharczak, Arkady A Airapetyan, Dani Avavde, Saeed Torabi, Alexandra Mackenzie, George Miller, Robert Vardanyan, Arian Arjomandi Rad, Johann Malawana
INTRODUCTION: Efforts to improve global healthcare persist, yet LMICs face challenges accessing surgical care, especially breast reconstruction amidst rising breast cancer cases. This review evaluates the present state and challenges of autologous breast reconstruction in low- and middle-income countries (LMICs). EVIDENCE ACQUISITION: Utilizing the PRISMA guidelines and the Cochrane Collaboration's standards, databases such as EMBASE, MEDLINE, Cochrane, PubMed, and Google Scholar were examined for studies on breast reconstruction in LMICs (based on the World Bank's 2022-2023 definitions) up to August 2022...
February 2024: Minerva surgery
https://read.qxmd.com/read/38365100/excess-morbidity-and-mortality-associated-with-underuse-of-estrogen-replacement-therapy-in-premenopausal-women-who-undergo-surgical-menopause
#28
JOURNAL ARTICLE
Jennifer S Ferris, Yukio Suzuki, Matthew T Prest, Ling Chen, Elena B Elkin, Chin Hur, Dawn L Hershman, Jason D Wright
BACKGROUND: Contrary to clinical guidelines, there has been a decrease over time in estrogen therapy use in premenopausal women undergoing bilateral oophorectomy for benign indications. OBJECTIVE: The objective of this study was to estimate the excess morbidity and mortality associated with current patterns of estrogen therapy use in women who undergo bilateral oophorectomy with hysterectomy for benign indications. STUDY DESIGN: We developed two Bayesian sampling Markov state-transition models to estimate the excess disease incidence (incidence model) and mortality (mortality model)...
February 14, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38358787/development-of-an-app-for-symptom-management-in-women-with-breast-cancer-receiving-maintenance-aromatase-inhibitors-protocol-for-a-mixed-methods-feasibility-study
#29
JOURNAL ARTICLE
Trine Lund-Jacobsen, Peter Schwarz, Gabriella Martino, Helle Pappot, Karin Piil
BACKGROUND: Patients with postmenopausal nonmetastatic estrogen receptor-positive breast cancer often experience a reduced quality of life after primary treatment. The disease and treatment trajectory consists of surgery followed by chemotherapy or radiation therapy. Upon this, maintenance hormone therapy with an aromatase inhibitor can result in several physical and psychosocial symptoms. Optimal symptom control during maintenance therapy is central to maintaining the patient's quality of life...
February 15, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38347975/prevalence-and-determinants-of-plastic-surgery-among-adults-in-saudi-arabia
#30
JOURNAL ARTICLE
Amr Arkoubi, Faris Aldaghri, Wael A Daghstani, Tamara A Hafiz, Ghaida B Alanazi, Alwaleed I Almughira, Shahad AlShehri, Maram K Alshammari, Reemah AlQahtani
BACKGROUND: Social and cultural factors have a significant impact on body image standards, and the media's messages play a crucial role in shaping beauty ideals. People's perceptions of beauty can be negatively affected by social media, which promotes unrealistic beauty standards and can lead to a desire for plastic surgery. Plastic surgery includes both reconstructive and aesthetic procedures and has become increasingly popular worldwide. In Saudi Arabia, there has been a significant increase in the number of women seeking cosmetic surgery, particularly breast augmentation, rhinoplasty, and liposuction, indicating that cosmetic surgery is becoming more accepted as a way to enhance beauty...
January 2024: Curēus
https://read.qxmd.com/read/38345718/a-prospective-study-of-sentinel-node-biopsy-omission-in-women-age%C3%A2-%C3%A2-%C3%A2-65-years-with-er-breast-cancer
#31
JOURNAL ARTICLE
Alice P Chung, Catherine M Dang, Scott R Karlan, Farin F Amersi, Edward M Phillips, Marissa K Boyle, Yujie Cui, Armando E Giuliano
BACKGROUND: National guidelines recommend omitting SNB in older patients with favorable invasive breast cancer. However, there is a lack of prospective data specifically addressing this issue. This study evaluates recurrence and survival in estrogen receptor-positive/Her2- (ER+) breast cancer patients, aged ≥ 65 years who have breast-conserving surgery (BCS) without SNB. METHODS: This is a prospective, observational study at a single institution where 125 patients aged ≥ 65 years with clinical T1-2N0 ER+ invasive breast cancer undergoing BCS were enrolled...
February 12, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38337854/optical-emission-spectroscopy-for-the-real-time-identification-of-malignant-breast-tissue
#32
JOURNAL ARTICLE
Selin Guergan, Bettina Boeer, Regina Fugunt, Gisela Helms, Carmen Roehm, Anna Solomianik, Alexander Neugebauer, Daniela Nuessle, Mirjam Schuermann, Kristin Brunecker, Ovidiu Jurjut, Karen A Boehme, Sascha Dammeier, Markus D Enderle, Sabrina Bettio, Irene Gonzalez-Menendez, Annette Staebler, Sara Y Brucker, Bernhard Kraemer, Diethelm Wallwiener, Falko Fend, Markus Hahn
Breast conserving resection with free margins is the gold standard treatment for early breast cancer recommended by guidelines worldwide. Therefore, reliable discrimination between normal and malignant tissue at the resection margins is essential. In this study, normal and abnormal tissue samples from breast cancer patients were characterized ex vivo by optical emission spectroscopy (OES) based on ionized atoms and molecules generated during electrosurgical treatment. The aim of the study was to determine spectroscopic features which are typical for healthy and neoplastic breast tissue allowing for future real-time tissue differentiation and margin assessment during breast cancer surgery...
February 4, 2024: Diagnostics
https://read.qxmd.com/read/38335870/a-systematic-review-of-surgical-simulation-in-gender-affirmation-surgery
#33
REVIEW
Eloise Stanton, Emily Markarian, Justin Codero, Idean Roohani, Katelyn Kondra, Jessica Lee, Joseph N Carey, Roberto Travieso
The burgeoning field of gender affirmation surgery (GAS) has become increasingly complex, challenging plastic surgeons to meet high standards for their patients. During the COVID-19 pandemic, the emphasis on remote learning ushered in the increased use of surgical simulation training, offering residents the opportunity to trial challenging procedures before treating patients. This systematic review seeks to summarize current simulation training models used in GAS. A systematic review was conducted according to PRISMA-P guidelines using the following databases: PubMed, Medline, Scopus, Embase, Web of Science, and Cochrane...
December 16, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/38334999/cost-effectiveness-of-gene-specific-prevention-strategies-for-ovarian-and-breast-cancer
#34
JOURNAL ARTICLE
Xia Wei, Li Sun, Eric Slade, Caitlin T Fierheller, Samuel Oxley, Ashwin Kalra, Jacqueline Sia, Michail Sideris, W Glenn McCluggage, Nathan Bromham, Katharina Dworzynski, Adam N Rosenthal, Adam Brentnall, Stephen Duffy, D Gareth Evans, Li Yang, Rosa Legood, Ranjit Manchanda
IMPORTANCE: Pathogenic variants (PVs) in BRCA1, BRCA2, PALB2, RAD51C, RAD51D, and BRIP1 cancer susceptibility genes (CSGs) confer an increased ovarian cancer (OC) risk, with BRCA1, BRCA2, PALB2, RAD51C, and RAD51D PVs also conferring an elevated breast cancer (BC) risk. Risk-reducing surgery, medical prevention, and BC surveillance offer the opportunity to prevent cancers and deaths, but their cost-effectiveness for individual CSGs remains poorly addressed. OBJECTIVE: To estimate the cost-effectiveness of prevention strategies for OC and BC among individuals carrying PVs in the previously listed CSGs...
February 5, 2024: JAMA Network Open
https://read.qxmd.com/read/38334903/translation-and-psychometric-assessment-of-the-mastectomy-module-of-the-breast-q-questionnaire-for-use-in-nigeria
#35
JOURNAL ARTICLE
Olalekan Olasehinde, Kathleen A Lynch, Debra A Goldman, Olaide Agodirin, Chukwuma Okereke, Funmilola O Wuraola, Israel Adeyemi Owoade, Promise Rebecca Akinmaye, Olusola Ajibade, Karin Barber, Joshua Ogunwale, Olusegun Alatise, T Peter Kingham, Andrea Pusic, Anya Romanoff
BACKGROUND: The majority of non-metastatic breast cancer patients in sub-Saharan Africa are recommended to have mastectomy. The impact of mastectomy on a predominantly young African patient population requires evaluation. The BREAST-Q is a validated patient-reported outcome measure of quality-of-life following breast surgery that has been translated into 30 languages-none in Africa. This study aimed to translate and assess the psychometric properties of the mastectomy module of the BREAST-Q for use in Nigeria...
February 9, 2024: Journal of Patient-Reported Outcomes
https://read.qxmd.com/read/38333667/contemporary-prophylactic-antibiotic-practices-and-adjunct-therapies-in-autologous-fat-grafting-procedures-a-survey-of-the-aesthetic-society-members
#36
JOURNAL ARTICLE
Sthefano Araya, Alexander H Chang, Civanni Moss, Sarah M Gubara, Maria T Gebreyesus, Kenneth Jordan, Karen J Ruth, Pablo Baltodano, Sameer A Patel
BACKGROUND: Autologous fat grafting (AFG) is a widely used surgical technique that involves extracting a patient's own adipose tissue and transferring it to different areas of the body. This practice is still evolving. Guidelines for antibiotic prophylaxis and use of adjuncts in plastic surgery are currently limited, with a notable absence of standardized guidelines for AFG. OBJECTIVES: In this survey, we assess contemporary antibiotic practices and adjuncts in AFG procedures...
2024: Aesthetic surgery journal. Open forum
https://read.qxmd.com/read/38332179/late-endocrine-diseases-in-survivors-of-adolescent-and-young-adult-cancer-in-california-a-population-based-study
#37
JOURNAL ARTICLE
Renata Abrahão, Ann Brunson, Kathryn J Ruddy, Qian Li, Judy Li, Mabel M Ryder, Jessica Chubak, Hazel B Nichols, Candice A M Sauder, Marlaine F Gray, Erin E Hahn, Ted Wun, Theresa H M Keegan
BACKGROUND: Cancer survivors have increased risk of endocrine complications, but there is a lack of information on the occurrence of specific endocrinopathies at the population-level. METHODS: We used data from the California Cancer Registry (2006-2018) linked to statewide hospitalisation, emergency department, and ambulatory surgery databases. We estimated the cumulative incidence of and factors associated with endocrinopathies among adolescents and young adults (AYA, 15-39 years) who survived ≥2 years after diagnosis...
February 8, 2024: British Journal of Cancer
https://read.qxmd.com/read/38323713/comparison-of-gastric-emptying-time-between-breast-fed-and-formula-milk-fed-infants-less-than-6%C3%A2-months-old-using-gastric-ultrasound-an-observational-study
#38
JOURNAL ARTICLE
Debashis Das, Anjan Trikha, Manpreet Kaur, Thilaka Muthiah, Ravinder Kumar Pandey, Basavraj Ankalji, Kumble Seetharama Madhusudhan, Deep Narayan Srivastava, Preet Mohinder Singh
BACKGROUND: Fasting before elective anesthesia care is a standardized practice worldwide. The aim is to decrease the risk of aspiration leading to pulmonary complications such as aspiration pneumonitis during anesthesia care. There are different guidelines for elective preoperative fasting in children. However, there is insufficient literature measuring gastric emptying time after breast milk or formula milk feeding in infants. OBJECTIVE: This study used gastric ultrasound to determine the gastric emptying time for breast milk and formula milk in children below 6 months of age...
February 7, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38323236/clinical-outcomes-and-tumor-microenvironment-response-to-radiofrequency-ablation-therapy-a-systematic-review-and-meta-analysis
#39
JOURNAL ARTICLE
Lauren E Mueller, Peter P Issa, Mohammad Hosny Hussein, Rami M Elshazli, Muhib Haidari, Youssef Errami, Mohamed Shama, Manal S Fawzy, Emad Kandil, Eman Toraih
BACKGROUND: Radiofrequency ablation (RFA) utilizes minimally invasive high-energy current to precisely ablate tumor cells. It has been utilized in many cancer types including thyroid, lung, and liver cancer. It has been shown to provide adequate ablative margins with minimal complications; however, incomplete RFA may lead to recurrence of tumor. The underlying cellular mechanism and behavior of ablated cancer tissue is poorly understood. METHODS: A systematic review was performed, searching EMBASE, Web of Science, PubMed, and Scopus for studies published up to March 2022 and reported following PRISMA guidelines...
January 29, 2024: Gland Surgery
https://read.qxmd.com/read/38320360/understanding-treatment-decision-making-in-older-women-with-breast-cancer-a%C3%A2-survey-based-study
#40
JOURNAL ARTICLE
Ruby J Kazemi, Callie VanWinkle, Cecilia M Pesavento, Ton Wang, Lesly A Dossett
INTRODUCTION: For women ≥70 y old with early-stage hormone receptor-positive, human epidermal growth factor receptor 2-negative breast cancer, the national guidelines recommend the omission of sentinel lymph node biopsy (SLNB) and post-lumpectomy radiotherapy. However, national-level data suggest these treatments remain common. We utilized a survey-based approach to explore patient-level factors driving overutilization. METHODS: We recruited women ≥70 y old with early-stage hormone receptor-positive/human epidermal growth factor receptor 2-negative breast cancer within 6 mo of surgery...
February 5, 2024: Journal of Surgical Research
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