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ISBN 10: 981432776X
ISBN 13: 9789814327763
Author: Mahmoud El-Tamer
Oncoplastic breast cancer surgery is one of the fastest-growing domains in breast surgery. This approach is continuing to gain practice acceptance due to increased emphasis on both optimum cosmetic outcome and maintenance of a sound oncologic basis. This book summarizes the basic principles and techniques using evidence-based data. Patient images and comprehensive drawings complete this practical guide for surgeons who treat diseases of the breast.
Chapter 1. Surgical Anatomy of the Breast
1.1. Topology of the Breast: An Overview
1.2. Fascia
1.3. Raising Flaps
1.4. Ligaments of Cooper and Horizontal Septum
1.5. Arterial Supply of the Breast
1.6. Venous Drainage of the Breast
1.7. Lymphatics
1.8. Nerve Supply
1.9. Nipple Areola Complex
References
Chapter 2. Surgical Landmarks and Measurements
2.1. Breast Measurement
2.2. Breast Markings
2.3. Vertical Mastopexy/Reduction Markings
References
Chapter 3. Neoadjuvant Therapy
3.1. Introduction
3.2. Background
3.3. Staging
3.4. Predictors of Response
3.5. Gene Profiling
3.6. Hormone Receptor-Positive Tumors
3.7. Invasive Lobular Carcinoma
3.8. Surgery After NCT
3.9. Locoregional Failure: Incidence and Predictors
3.10. Predictors of Relapse
3.11. Future Directions
3.12. Conclusion
References
Chapter 4. Skin Incisions
4.1. Periareolar Incision
4.2. Inframammary Incision
4.3. Skin Closure
References
Chapter 5. Margins in Breast Cancer Surgery
5.1. Methods of Margin Evaluation
5.2. Margin Width and Local Recurrence: Invasive Cancer
5.3. Margin Width and Local Recurrence: DCIS
References
Chapter 6. Resection of the Tumor
6.1. General Principles and Preoperative Planning
6.2. Resection of the Primary
References
Chapter 7. Repair of Breast Defects
7.1. General Principles
References
Chapter 8. Oncoplastic Breast Reduction
8.1. Introduction
8.2. The Oncoplastic Approach
8.3. Patient Selection and Preoperative Breast Evaluation
8.4. History and Physical
8.5. Types of Breast Reduction
8.6. Relevant Anatomy
8.7. Technical Considerations
8.8. Incision
8.9. Pedicle
8.10. Radiation Therapy
8.11. Complications
8.12. Long-Term Oncologic Results
8.13. Breast Cancer Surveillance
8.14. Cosmetic and Functional Outcomes
8.15. Future Directions
References
Chapter 9. Mastopexy
9.1. Introduction
9.2. Dome Mastopexy
9.3. Benelli Mastopexy
References
Chapter 10. Skin-Sparing Mastectomy
10.1. Introduction
10.2. Incision
10.3. Mastectomy
10.4. Axillary Staging
10.5. Reconstruction
10.6. Safety
10.7. Postoperative Complications
10.8. Completeness of Mastectomy
10.9. Completeness of Tumor Removal and Local Recurrence Rates
10.10. Cosmesis
References
Chapter 11. Nipple-Sparing Mastectomy
11.1. Introduction
11.2. Rationale
11.3. Why Not Perform NSM?
11.4. Most Frequently Cited Landmark Study
11.5. Basic Science
11.6. Proposed Metrics
11.7. Selection
11.8. Exclusionary Criteria
11.9. Preoperative Evaluation
11.10. Plastic Reconstructive Surgery Considerations
11.11. Comorbidities
11.12. Intraoperative Technique
11.13. Endoscopy
11.14. Additional Technical Notes
11.15. Intraoperative Radiation with Electrons (ELIOT)
11.16. Outcomes
11.17. Clinical Pearls
11.18. Summary and Conclusions
References
Chapter 12. Radiation Therapy
12.1. Background
12.2. Oncoplastic Surgery and 5-Day Interstitial Brachytherapy
12.3. Oncoplastic Surgery with 3-Dimensional Conformal PBI
12.4. Intraoperative Radiotherapy During Oncoplastic Surgery
12.5. Conclusions
References
principles and techniques in oncoplastic breast cancer surgery
principles and practice of oncoplastic breast surgery
principles of oncoplastic surgery
principles of oncoplastic breast surgery
principles and practice of oncology
Tags: Mahmoud El Tamer, Oncoplastic Breast Cancer Surgery, Principles, Techniques
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