Breast surgery: office management and surgical techniques

This concise, practical manual on breast disease deals with all aspects of surgical management of both benign and malignant disease. The chapters are written by leading experts, clearly illustrated with line drawings, clinical photosand diagnostic radiology images. B reast Surgery is divided into sections following the patterns of patient management from diagnosis through treatment andreconstruction. Part One, 'Management of Common Presenting Problems' containsconcepts and procedures that are primarily diagnostic and may be therapeutic.Organized by presenting complaint, these procedures (mostly office based) reflect the manner in which patients are referred. Part two: 'Surgical Approach and Perioperative Care', guides the clinician through the best procedure for a given diagnosis. This section provides material on choice of surgical procedure, tricks and tips to avoid complications, and potential pitfalls. The authorsalso include management of complications. Lastly, Part Three, 'A Primer on Plastic Surgery of the Breast', gives details of common plastic surgery procedures. Not intended to replace a text reference, Breast Disease instead offers a concise manual to provide practical advise for office based surgical procedures for both breast specialists and general surgeons. Each chapter provides a focused clinical outline of in-office and OR-based treatment procedures for breast surgeons A broad overview of Breast Surgical Techniques and Interdisciplinary Management written by leaders in the field Each section provides an in-depth look at new and innovative procedures in breast surgical oncology as well asoffice management INDICE: I. Management of Common Presenting Problems.- 1. Breast mass.- FNAC.- Core biopsy (including U/S guidance).- Incisional and excisional biopsy, When to do which, Placement of incision, Tissue handling, Communication with pathologist, Specimen orientation.- 2. Nipple discharge.- When does it need investigation?.- Ductal endoscopy.- Ductal excision.- 3. Abnormal mammogram.- Whento biopsy.- Choice of biopsy method.- Stereotaxic and other 'non-surgical' procedures.- Needle-localized breast biopsy, Multiple needles, Ultrasound guidance.- 4. Woman at increased risk for breast cancer.- BRCA-1 and 2, other predisposing factors.-MR, ductal lavage.-Role for prophylactic surgery.- 5. Breast pain.- Approach to the patient.- Management strategies.- 6. Mastitis and breastabscesses.- Puerperal.- Subareolar abscess/mammary fistula.- 7. Special considerations – evaluation during pregnancy and lactation.-8. Male breast mass.- Workup.- II. Surgical Approach.- 1. Large benign tumors (hamartomas, PASH, etc).- 2. Phylloides tumors.- Wide local excision.- Total mastectomy.- 3. Carcinoma in situ.- Stress that LCIS is not surgical disease, rather marker.- DCIS.- Excision to attain clean margins, Use of multiple needles, Bat-wing incision, Total mastectomy.- 4. Breast cancer.- How to determine clinical stage.- Choice of surgical approach (size and clinical stage of tumor versus size of breast, use of neoadjuvant therapy if locally advanced).- Lumpectomy, quadrantectomy.-Re-excision to attain negative margins.- Implantation of MammoSite brachytherapy device.- Sentinel lymph node biopsy.- Axillary node dissection.- Modified radical mastectomy.- Include considerations for immediate or delayed reconstruction with autogenous or prosthetic material, skin-sparing techniques.- Radical mastectomy.- Include skin graft.- 4. Prophylactic mastectomy.- When, how?.- Reconstructive considerations, skin sparing, etc..- 5. Complications after breast surgery.- Hematoma.- Positive margin.- Local recurrence.- 6. Gynecomastia.- 7. Carcinoma of the breast in men.- III. A primer on plastic surgery of the breast.- 1. Reduction mastopexy.- 2. Augmentation mastoplasty.- 3. Reconstruction after mastectomy.- Autologous tissue.- Implant (use of tissue expanders)

• ISBN: 978-1-4419-6075-7
• Editorial: Springer
• Encuadernacion: Cartoné
• Páginas: 440
• Fecha Publicación: 01/07/2010
• Nº Volúmenes: 1
• Idioma: Inglés