Plastic & Reconstructive Surgery June 2009

Link to journal online
Antony, Anuja K. M.D.; Kamdar, Mehul M.D.; Da Lio, Andrew M.D.; Mehrara, Babak J. M.D.;
Technique of Internal Mammary Dissection Using Pectoralis Major Flap to Prevent Contour Deformities.
Plastic & Reconstructive Surgery. 123(6):1674-1675, June 2009.

Spear, Scott L. M.D.; Hannan, Catherine M. M.D.; Willey, Shawna C. M.D.; Cocilovo, Costanza Title
Nipple-Sparing Mastectomy.
Plastic & Reconstructive Surgery. 123(6):1665-1673, June 2009.
Abstract
Background: The debate over nipple-sparing mastectomy continues to evolve. Over the past several years, it has become more widely accepted, especially in the setting of prophylactic mastectomy, but its role in the treatment of breast cancer has only recently been reexamined.Methods: Two indications for the procedure are discussed: prophylactic, for the high-risk patient; and the more controversial topic, therapeutic nipple-sparing mastectomy, for the patient with breast cancer. A review of the literature suggests that certain breast cancers may be amenable to retaining the nipple if they meet specific oncologic criteria: tumor size 3 cm or less, at least 2 cm from the nipple, not multicentric, and with clinically negative nodes. Moreover, newer technologies such as magnetic resonance imaging and preoperative mammotome biopsy may make the procedure even safer in this setting. Practical and technical aspects of the procedure are discussed, including patient selection.Results: The accumulating data from multiple series of nipple-sparing mastectomy show that properly screened patients have a low risk of local cancer recurrence, that recurrences occur rarely in the nipple, and that recurrences in the nipple can be managed by removing the nipple.Conclusions: Despite continued controversy and the need for more long-term outcome data, nipple-sparing mastectomy is a procedure that is gaining increasing visibility and acceptance. Provided that certain oncologic and practical criteria are applied, it has the potential for allowing less invasive surgery and improved cosmetic outcomes without increased oncologic risk in appropriately selected patients.(C)2009American Society of Plastic Surgeons

AJR April 2009

Women's imaging section

Invasive Micropapillary Carcinoma of the Breast: Mammographic, Sonographic, and MRI Features
Beatriz Adrada, Elsa Arribas, Michael Gilcrease, and Wei Tse Yang
AJR 2009;193:58-63
http://www.ajronline.org/cgi/content/abstract/193/1/W58



Dermatofibrosarcoma Protuberans of the Breast: Imaging Features and Review of the Literature
Su-Ju Lee, Mary C. Mahoney, and Elizabeth Shaughnessy
AJR 2009;193:64-69
http://www.ajronline.org/cgi/content/abstract/193/1/W64



Invasive Carcinoma of the Breast Accompanied by Coarse Calcification
Kenichiro Tanaka, Futoshi Akiyama, Noriko Nishikawa et al
AJR 2009;193:70-71
http://www.ajronline.org/cgi/content/abstract/193/1/W70



Diffusion-Weighted Imaging of Mucinous Carcinoma of the Breast: Evaluation of Apparent Diffusion Coefficient and Signal Intensity in Correlation With Histologic Findings
Reiko Woodhams, Satoko Kakita, Hirofumi Hata, Keiichi Iwabuchi, Shigeaki Umeoka et al
AJR 2009;193:260-266
http://www.ajronline.org/cgi/content/abstract/193/1/260

Best Ways to Provide Feedback to Radiologists on Mammography Performance
Erin J. Aiello Bowles and Berta M. Geller
AJR 2009;193:157-164
http://www.ajronline.org/cgi/content/abstract/193/1/157

British Journal of Surgery Vol 96 Iss 7 2009

Corespondence

p. 824
Prophylactic mastectomy and the timing of breast reconstruction (Br J Surg 2009; 96: 1-2)
Z. E. Winters
AbstractPublished Online: 15 Jun 2009

p. 824-825
Authors' reply: Prophylactic mastectomy and the timing of breast reconstruction (Br J Surg 2009; 96: 1-2)
B. J. Mehrara, M. Morrow
AbstractPublished Online: 15 Jun 2009

Annals of Surgery June 2009 Vol 249 No 6

p. 1067-1068
Breast Cancer Outcomes: The Crucial Role of the Breast Surgeon in the Era of Personal Genetics and Systems Biology
Dimitrios H. Roukos, MD, Associate Professor