Chirag Shah, Alvaro Martinez, Matthew Kolar, Frank Vicini
Breast brachytherapy represents a radiation technique that can be utilized as both monotherapy and as a tumor bed boost following breast conserving surgery. As monotherapy, the rationale for brachytherapy is that the majority of residual disease and therefore recurrences occur in close proximity to the lumpectomy cavity; for boost treatment, brachytherapy represents a technique that provided a more conformal approach prior to 3D treatment planning, and more recently can be used in conjunction with oncoplastic surgery...
January 2020: Seminars in Radiation Oncology
Alberto Rancati, Claudio Angrigiani, Julio Dorr, Marcelo Irigo, Maurizio B Nava, Giuseppe Catanuto, Nicola Rocco, Agustin Rancati
Surgical treatment of breast cancer has changed during the last few decades. Long-term evaluation of several studies performed worldwide have confirmed that conservative surgery (CS) and radical mastectomy have similar survival rates. Due to CS being the gold standard for treatment for most women with breast cancer, advances in materials, mastectomy and reconstructive surgery techniques, now give us the possibility to perform on our patients a great outcome with oncological security. Both advances, in plastic and oncologic surgery, created a new discipline, called oncoplastic breast surgery, that allow surgeons to resect large breast specimens preventing subsequent deformities with the correct previous planning...
October 2019: Gland Surgery
Rajaram Burrah, Karen James, Jonathan Lund, Raman Vinayagam
BACKGROUND: Round block mammoplasty (RBM) is a type of Oncoplastic procedure to facilitate breast conservation surgery for breast cancer. METHODS: Retrospective study of 270 patients who underwent this surgery. The surgical and oncological outcomes of RBM were studied. RESULTS: The median age was 61 years and median follow-up 39 months. Most cancers (59%) were screen-detected. The location of the cancer was commonly in the upper outer quadrant followed by upper inner quadrant (20%)...
October 28, 2019: European Journal of Surgical Oncology
Omobolaji Oladayo Ayandipo, Oludolapo Ola Afuwape, Oluwafunmilayo Yewande Soneye, Akintunde Taiwo Orunmuyi, Gbolahan Oladele Obajimi
Introduction: Soft tissue sarcomas (STS) consist of over 70 histologic subtypes and constitute only 1% of adult malignancies. The fulcrum of management is surgical resection with neoadjuvant or adjuvant treatment-chemoradiation. Methods: The study is a retrospective review of consecutive STS patients who had surgery at the University College Hospital, Ibadan, between October 2007-2017. Data extraction was from the admission and operative registers, theatre records and histology reports...
2019: Pan African Medical Journal
Gillian Higgins, Suzanne Emma Thomson
Misperceptions of plastic surgery remain common among medical students and the medical community. This creates barriers in recruitment to specialty and patient referral. Before this study, there was no formal plastic surgery teaching in University of Glasgow undergraduate medical core curriculum. A plastic surgery teaching pilot was implemented for fourth year students. Oncoplastic breast surgery was used as an example of gold standard multidisciplinary reconstructive surgery. Surveys collected data before and after provision of teaching across four parameters; identification of plastic surgery subspecialties, understanding of plastic surgery, opinion of the pilot and curriculum, career preferences and gender...
November 1, 2019: Postgraduate Medical Journal
Kenneth L Fan, Simon Yang, Seho Park, Tae Hwan Park, Seung Yong Song, Nara Lee, Dae Hyun Lew, Min Jung Kim, Dong Won Lee
BACKGROUND: The latissimus dorsi (LD) myocutaneous flap is a widely used local option in oncoplastic surgery for avoiding breast deformities; however, concerns exist regarding its influence in monitoring recurrence. In this study, we evaluated the impact of this flap on postoperative cancer surveillance. METHODS: Each patient receiving oncoplastic surgery with LD flap after partial mastectomy were matched in age, cancer stage, and body mass index with patients receiving partial mastectomy alone...
October 11, 2019: Annals of Surgical Oncology
Doruk Orgun, Ayato Hayashi, Hidekazu Yoshizawa, Azusa Shimizu, Masatoshi Horiguchi, Mariko Mochizuki, Tomoki Kamimori, Emiko Aiba-Kojima, Hiroshi Mizuno
BACKGROUND: Oncoplastic lower eyelid reconstruction is a challenging task due to the complicated structure of the eyelid and requirement of high operative accuracy. Poorly treated defects result in ectropion and ptosis which may lead to keratitis and corneal ulceration. Previous related studies do not include a detailed comparison of the common reconstructive methods of the lower eyelid in terms of results and complication rates. OBJECTIVE: The authors aim to demonstrate whether the choice of reconstruction affects the aesthetic and functional outcome of oncoplastic lower eyelid reconstruction...
October 1, 2019: Journal of Craniofacial Surgery
Elizabeth J Sutton, Brittany Z Dashevsky, Elizabeth J Watson, Neelam Tyagi, Blanca Bernard-Davila, Danny Martinez, Ahmet Dogan, Steven M Horwitz, Peter G Cordeiro, Elizabeth A Morris
BACKGROUND: To assess the incidence of benign and malignant peri-implant fluid collections and/or masses on magnetic resonance imaging (MRI) in women with silicone implants who are being screened for silent implant rupture. METHODS: The institutional review board approved this HIPAA-compliant retrospective study and waived informed consent. Women who underwent silicone implant oncoplastic and/or cosmetic surgery and postoperative implant-protocol MRI from 2000 to 2014 were included...
September 30, 2019: Cancer Medicine
Alejandro M Sanchez, Gianluca Franceschini, Sabatino D'Archi, Flavia De Lauretis, Lorenzo Scardina, Danilo Di Giorgio, Cristina Accetta, Riccardo Masetti
Oncoplastic surgery (OPS) has demonstrated its superiority above traditional breast conserving surgery, but is still struggling to consolidate its role in breast cancer therapeutic protocols mainly because of contrasting scientific evidences and reduced follow-up results available. The objective of our contribution is to analyze results obtained with 381 patients consecutively treated in our Multidisciplinary Breast Center by means of level II OPS between January 1998 and January 2018 for unilateral, primary breast cancer...
September 27, 2019: Breast Journal
Igor Motuziuk, Oleg Sydorchuk, Yevhenii Kostiuchenko, Natalia Kovtun, Petro Poniatovskyi
Aim: The aim of this study was to develop and implement the concept of fast-track surgery (FTS) for reconstructive breast surgery in patients with breast cancer (BC) to improve early and long-term results of treatment. Materials and methods: The study includes 749 patients with stage 1 to 3 BC. A total of 253 patients with BC got treatment according to FTS program and were included to the core group. Other 496 patients with BC (control group) were not included to the FTS program...
2019: Breast Cancer: Basic and Clinical Research
Muneer Ahmed, Simon Wood, Daniel Leff
The configuration of autologous free-flap breast reconstruction services within regional hubs means that increasing numbers of patients operated upon at these units will be external referrals without their oncological investigations carried out at the tertiary receiving centre. Oncoplastic guidelines exist that clearly state the minimum necessary patient information that should be provided by the referring unit to the reconstruction centre. However, the logistics of such critical information transfer can be challenging, but it is essential that such issues are addressed to ensure safe oncological management of patients undergoing autologous breast reconstruction...
2019: Ecancermedicalscience
Belinda C S Pearce, Roanne N Fiddes, Nirmala Paramanathan, Natalie Chand, Siobhan A M Laws, Richard M Rainsbury
OBJECTIVES: Extreme oncoplastic breast conserving surgery (eOPBCS) allows breast conservation for tumours ≥ 50 mm, but long-term outcomes are unclear. We investigated early complications and the longer-term clinical and oncological outcomes following eOPBCS to assess the clinical utility and safety of this technique. MATERIALS AND METHODS: A prospectively collected database of all eOPBCS procedures (1993-2016) using LD miniflaps (LDm) and therapeutic mammoplasties (TM) was interrogated and cross-checked with hospital records to establish length of follow up (FU), clinical outcomes (complications, revisions), local recurrence (LR) and survival...
September 5, 2019: European Journal of Surgical Oncology
T M Manie, Mmg Youssef, S N Taha, A Rabea, A M Farahat
BACKGROUND: Surgical management of breast cancer with gigantomastia can be challenging when planning breast conservation, as major breast reduction is required. Complex oncoplastic procedures can carry an additional surgical risk in this situation. We suggest batwing mammoplasty as a simple and safe oncoplastic procedure for those patients. MATERIALS AND METHODS: Fourteen patients with gigantomastia diagnosed with breast cancer were included in this prospective cohort study...
September 20, 2019: Annals of the Royal College of Surgeons of England
Gianluca Franceschini, Riccardo Masetti
No abstract text is available yet for this article.
September 12, 2019: Annals of Plastic Surgery
Kai Joachim Borm, Christine Schönknecht, Andrea Nestler, Markus Oechsner, Birgit Waschulzik, Stephanie Elisabeth Combs, Stefan Münch, Markus Niemeyer, Marciana Nona Duma
BACKGROUND: Oncoplastic surgery techniques lead to a rearrangement of the breast tissue and impede target definition during adjuvant radiotherapy (RT). The aim of this study was to assess local control rates after immediate oncoplastic surgery and adjuvant RT. METHODS: This study comprises 965 patients who underwent breast-conserving therapy and adjuvant RT between 01/2000 and 12/2005. 288 patients received immediate oncoplastic surgery (ONC) and 677 patients breast-conserving surgery only (NONC)...
September 11, 2019: BMC Cancer
Seokwon Lee, Younglae Jung, Youngtae Bae
We propose a novel oncoplastic surgical technique, dermoglandular rotation flap with subaxillary advancement flap, as a feasible one-stage operation. Breast conserving surgery, incorporating the dermoglandular rotation flap with subaxillary advancement flap, was performed in 49 female patients with breast cancer, between January and December 2015. After a full-thickness fibroglandular resection including the tumor, an inferior- or a superior-based rotation flap was performed according to the location of the defect...
September 9, 2019: Breast Journal
Angelena Crown, Flavio G Rocha, Janie W Grumley
BACKGROUND: Breast-conserving therapy (BCT) has been associated with better quality of life and cosmetic outcomes than mastectomy. However, subareolar cancers abutting the nipple-areolar complex (NAC) present a unique cosmetic and oncologic challenge. Oncoplastic central partial mastectomy and neoareolar reduction mammoplasty with immediate nipple reconstruction is a novel technique that can permit BCT for these patients. METHODS: This study enrolled consecutive patients with central tumors during 2017-2018 who underwent central partial mastectomy reconstructed with neoareolar reduction mammoplasty and immediate nipple reconstruction...
September 9, 2019: Annals of Surgical Oncology
Domagoj Eljuga, Ivan Milas, Petar Ozretić, Mladen Stanec, Božo Gorjanc, Ksenija Eljuga, Zlatko Vlajčić, Krešimir Martić
No abstract text is available yet for this article.
September 4, 2019: Breast Journal
Yasmine Papas, Antoine El Asmar, Fatmeh Ghandour, Imad Hajj
Malignant phyllodes tumors (MPT) have always been a great deal of controversy among fibroepithelial tumors of the breast. Genetics, histopathology, and tumor behavior on the cellular scale shape their extent of aggressiveness. Diagnosis is based on radiological and pathological findings. Cure is surgical excision. This article reveals the most common clinical indices, which should raise the surgeon's concerns on a benign-looking tumor to further investigate its nature, and the importance of an adequate surgical intervention, preferably done by an oncoplastic breast surgeon, in order to accomplish the ideal outcome for the patient...
September 3, 2019: Breast Journal
Ghaith Bahjat Heilat, James French, Meagan E Brennan
BACKGROUND: Breast cancer affects one in eight Australian women. While surgery, chemotherapy, radiotherapy and endocrine therapy are still the main treatments, there have been changes in the sequencing of treatment and advances in each therapy. The general practitioner (GP) is involved at each stage of the patient's journey. OBJECTIVE: This article discusses the current approach to the management of early breast cancer. It focuses on changes in recent years and discusses the role of the GP in supporting women in their decision-making and treatment...
September 2019: Australian Journal of General Practice
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