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Breast Surgery, 7th Edition. A Companion to Specialist Surgical Practice

Simon Paterson-Brown, J Michael Dixon, Matthew D. Barber, O. James Garden
ISBN: 9780702084799
ISBN: 9780702084799
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Περιγραφή

Breast Surgery provides a short, up-to-date and practical reference guide for general surgical trainees and established consultants needing a refresher.

The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It includes recent developments in breast surgery, including axillary surgery, primary medical therapy, risk reducing surgery, gender affirmation surgery and complications of breast surgery.

This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice.

New to this edition
    • New chapter on gender affirmation surgery
    • More information on complications of breast surgery
Key Features
    • Concise and easy to follow – ideal for exam revision or as a refresher aid
    • Covers all aspects of the topic
    • Fully updated with latest evidence on recent developments, management issues and operative procedures
    • International authorship provides a global perspective
    • Details of relevant investigations and evidence-based recommendations to support practice
    • Key references to support content, plus a comprehensive list of references in the accompanying eBook
    • Links to recommended online videos for further learning
Author Information
Edited by J Michael Dixon, BSc(Hons) MBChB MD FRCS FRCSEd FRCPEd(Hon), Professor of Surgery, University of Edinburgh; Clinical Director, Edinburgh Breakthrough Unit; Consultant Surgeon, NHS Lothian Edinburgh Breast Unit, Western General Hospital, Edinburgh, UK and Matthew D. Barber, BSc(Hons) MBChB(Hons) MD FRCS(Gen Surg), Consultant Breast Surgeon, NHS Lothian, Edinburgh Breast Unit, Western General Hospital, Edinburgh and St John’s Hospital, Livingston, UK

Περιεχόμενα

  • Instructions for online access
  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Series Editors’ preface
  • Editors’ preface
  • Evidence-based practice in surgery
  • Contributors
  • 1. Anatomy and physiology of the breast
  • Normal breast development
  • Breast anatomy
  • 2. Assessment of patient, breast and common clinical presentations including image-guided intervention
  • Triple assessment
  • Clinical history
  • Radiological assessment
  • Image-guided breast intervention techniques
  • 3. Benign breast conditions
  • Introduction
  • Congenital abnormalities
  • Aberrations of normal breast development and involution (ANDI)
  • Benign neoplasms and proliferations
  • Breast infections
  • Other benign conditions seen in the breast
  • Diagnosis is confirmed by core biopsy or excision
  • Nipple discharge
  • Operations commonly performed in benign breast conditions
  • Common complications of cosmetic breast surgery
  • Breast implant-associated anaplastic large cell lymphoma
  • 4. Breast pathology
  • Introduction
  • Macroscopic assessment of specimens
  • Carcinoma in situ
  • Invasive cancer
  • Predictive biomarkers
  • Other multiparameter tests for risk stratification
  • Conclusion
  • 5. Epidemiology, risk factors and prevention strategies
  • Risk factors for breast cancer
  • Genetics
  • Risk assessment
  • Prevention of breast cancer
  • Genetic counselling
  • Breast surgery in those at high risk
  • Surgical risk-reduction strategies for women with a BRCA1 or BRCA2 mutation
  • Variance of unknown significance
  • Pregnancy and risks of breast cancers in BRCA1/2 mutation carriers
  • Summary of risk-reduction strategies in BRCA1/2 mutation carriers
  • 6. Breast screening
  • Introduction
  • Controversies of breast screening
  • NHS Breast Screening Programme (NHSBSP)
  • Updates in breast screening
  • Surgery for clinically occult breast lesions
  • Radio-occult lesion localisation
  • Radioiodine seeds
  • Intraoperative ultrasound
  • Oncoplastic considerations for screen-detected lesions
  • 7. Breast-conserving surgery: the balance between good cosmesis and local control
  • Introduction
  • Selection of patients for breast conservation
  • Multisite Breast Cancers
  • Factors affecting local recurrence after BCS
  • Breast-conserving surgery
  • 8. Oncoplastic breast-conserving surgery
  • Introduction
  • What about oncological outcomes?
  • Selection of cases for oncoplastic breast-conserving surgery
  • Causes of deformity after breast-conserving surgery
  • Oncoplastic techniques in breast-conserving surgery
  • Important principles of oncoplastic BCS include the following:
  • Volume displacement or replacement?
  • Timing of oncoplastic breast surgery
  • Basic techniques in breast-conserving surgery
  • Round block and tennis racket techniques
  • Incisions
  • Direct oncoplastic excisions with centralisation of NAC
  • Direct oncoplastic excisions with removal of NAC
  • Therapeutic mammaplasty
  • Volume replacement techniques
  • Case examples
  • 9. Mastectomy
  • Introduction
  • Completeness of mastectomy
  • General considerations in planning a mastectomy
  • Considerations for simple mastectomy
  • Radical mastectomy
  • Considerations for mastectomy with immediate reconstruction
  • Quilting of mastectomy flaps
  • 10. Management of the axilla
  • Introduction
  • Axillary node clearance
  • Less invasive techniques for axillary staging
  • Preoperative imaging and evaluation of lymph nodes
  • Controversial situations
  • Axillary dissection in node-positive patients vs radiotherapy
  • Management of the axilla after neoadjuvant chemotherapy
  • Management of patients presenting with axillary lymph node metastases and an unknown primary
  • Conclusion
  • 11. Uncommon presentations of cancer affecting the breast and recurrent breast cancer
  • Uncommon presentations of cancer affecting the breast
  • Other breast malignancies
  • 12. Breast reconstruction
  • Introduction
  • Timing
  • Contraindications
  • Techniques
  • Finishing touches
  • Summary
  • Recommended videos:
  • 13. Treatment of ductal carcinoma in situ
  • Background
  • Risk factors, natural history, pathology and receptors
  • Molecular panels
  • Presentation, investigation and diagnosis
  • Treatment: mastectomy versus BCS
  • Recurrence: rates and predictors
  • Adjuvant therapy
  • Follow-up
  • DCIS of the male breast
  • Future Perspectives
  • 14. The role of adjuvant systemic therapy in patients with operable breast cancer
  • Introduction
  • Adjuvant endocrine therapy
  • Adjuvant chemotherapy
  • Triple-negative breast cancer
  • Anti-HER2 therapy
  • Bisphosphonates
  • Emerging adjuvant therapies
  • Conclusion
  • 15. Neoadjuvant therapy for breast cancer, including surgical considerations
  • Introduction
  • Landmark clinical trials evaluating neoadjuvant chemotherapy in operable breast cancer
  • Response to neoadjuvant chemotherapy
  • Influence of tumour molecular subtype on response to therapy
  • HR-positive breast cancer
  • Implications for local regional therapy following neoadjuvant therapy
  • Management of the axilla (see also Chapter 10)
  • Future directions
  • Summary
  • 16. Adjuvant radiotherapy for breast cancer
  • Background and history
  • Planning and treatment delivery
  • Practicalities and treatment pathways
  • Radiotherapy after breast conserving surgery for invasive cancer
  • Radiotherapy after breast conserving surgery for ductal carcinoma in situ (DCIS)
  • Radiotherapy after mastectomy
  • Regional nodal irradiation
  • Fractionation
  • Toxicity
  • Conclusion
  • 17. Metastatic breast cancer and palliative care
  • Introduction
  • Presentation and prognosis
  • Staging
  • Treatment
  • Management of specific sites of disease
  • Control of symptoms
  • Care of the dying patient
  • 18. Top surgery for gender affirmation
  • Introduction
  • Considerations for male to female (MtF) top surgery
  • Female to male (FtM) top surgery
  • 19. Psychosocial issues in breast cancer
  • Introduction
  • Communication
  • BRCA I/II discussions
  • Impact of treatments on quality of life
  • Summary
  • 20. Avoidance and management of complications of breast surgery
  • Documentation and audit
  • Postoperative complications
  • INDEX

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