Accuracy of magnetic resonance in suspicious breast lesions: a systematic quantitative review and meta-analysis. Breast Cancer Research and Treatment 2011; Vol. 126(2), p. 273-285.
Medeiros L.R., et al.
http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?ID=12011004113
This review concluded that breast magnetic resonance imaging (MRI) was a useful preoperative test for differentiating between breast cancer/high-risk lesions and benign lesions.
Thursday, 19 April 2012
Cost-effectiveness of contralateral prophylactic mastectomy
Cost-effectiveness of contralateral prophylactic mastectomy versus routine surveillance in patients with unilateral breast cancer. Journal of Clinical Oncology 2011; Vol. 29(22), p. 2993-3000.
Zendejas, B., et al.
http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?ID=22011001483
Zendejas, B., et al.
http://www.crd.york.ac.uk/crdweb/ShowRecord.asp?ID=22011001483
The objective was to evaluate the cost-effectiveness of contralateral prophylactic mastectomy versus routine surveillance in patients with unilateral breast cancer. The authors concluded that contralateral mastectomy was cost-effective, compared with surveillance, for patients younger than 70 years.
Tuesday, 10 April 2012
Breast clinic triage tool
Breast clinic triage tool: Telephone assessment of new referrals. The breast, April, 2012, Vol. 21(2), p.215-217.
Cusack, L., et al.
Efficient systems to triage increasing numbers of new referrals to breast clinics are needed, to optimise the management of patients with cancer and benign disease.
Combination of two local flaps for large defects after breast conserving surgery
Combination of two local flaps for large defects after breast conserving surgery. The breast, April 2012, Vol. 21(2), p.194-198.
Lee, J., et al.
Oncoplastic surgery is a technique for wide excision of breast cancer without compromising the natural shape of the breast. We have combined two local flaps, referred to as a ‘combined local flap’, for large defects of the breast after a partial mastectomy.
Improved sub-areolar breast tissue removal in nipple-sparing mastectomy using hydrodissection
Improved sub-areolar breast tissue removal in nipple-sparing mastectomy using hydrodissection. The breast, April 2012, Vol. 21(2), p.190-193.
Folli, S., et al.
We report on a new technique of dissection of the nipple-areola-complex (NAC) in nipple-sparing mastectomy (NSM). NACs removed due to the presence of tumor cells beneath them were histologically examined for the presence of normal breast glandular tissue.
A critical review of women's sleep-wake patterns in the context of neo-/adjuvant chemotherapy
A critical review of women's sleep-wake patterns in the context of neo-/adjuvant chemotherapy for early-stage breast cancer. The breast, April 2012, Vol. 21(2), p.128-141.
Kotronoulas, G., et al.
Complaints of poor nocturnal sleep and daytime dysfunction may be frequent among women receiving chemotherapy for breast cancer. A critical review of the literature was conducted, which aimed at summarising and critically analysing findings regarding sleep in women with early-stage breast cancer across neo-/adjuvant chemotherapy treatment.
Clinical review - breast adenoid cystic carcinoma
Clinical review - breast adenoid cystic carcinoma. The breast, April 2012, Vol. 21(2), p.124-127.
Boujelbene, N. et al.
ACC of the breast has a favourable prognosis. An accurate diagnosis and appropriate treatment are therefore important.
Evaluation of the evidence on staging imaging for detection of asymptomatic distant metastases in newly diagnosed breast cancer
Evaluation of the evidence on staging imaging for detection of asymptomatic distant metastases in newly diagnosed breast cancer. The breast, April 2012, Vol. 21(2), p.112-123.
Brennan, M.E., & Houssami, N.
While guidelines recommend against routine use of staging imaging to detect asymptomatic distant metastases (DM) in newly diagnosed breast cancer (BC), modern imaging technologies may have improved detection capability and may have a role in some cases.
Anaplastic large cell lymphoma and breast implants
Anaplastic large cell lymphoma and breast implants: Five Australian cases. Plastic & reconstructive surgery, April 2012, Vol. 129(4), p.610e-617e.
Taylor, K.O., et al.
Textured surface implants only became widely used in the 1990s and therefore were not significantly represented in the large cohort studies of breast implant safety undertaken in the early 1990s. The diagnosis of anaplastic large cell lymphoma in the breast needs to be considered in patients, particularly those presenting with a periprosthetic seroma 6 months or more after breast implant insertion.
Imaging features of primary breast sarcoma
Imaging features of primary breast sarcoma. AJR, April, 2012, Vol. 198(4), p. W386-W393.
Smith, T.B., et al.
Primary breast sarcoma has imaging features that are not typically seen in infiltrating ductal carcinoma. A large oval hypervascular mass with indistinct margins should raise the suspicion for a primary breast sarcoma and prompt biopsy.
Background parenchymal enhancement on breast MRI
Background parenchymal enhancement on breast MRI: Impact on diagnostic performance. AJR, April, 2012, vol. 198(4), p. W373-W380.
DeMartini, W.B., et al.
Increased background parenchymal enhancement on breast MRI is associated with younger patient age and higher abnormal interpretation rate. However, it is not related to significant differences in positive biopsy rate, cancer yield, sensitivity, or specificity of MRI.
Breast cancer screening - time to move forward?
Breast cancer screening - time to move forward? The lancet, April 2012, Vol. 379(9823), p.1289-90.
Cuzick, J.
Peter Gøtzsche's Mammography Screening: Truth, Lies and Controversy provides more insight into the polarisation and irrationality of the debate on breast cancer screening than any useful information about the impact of screening in reducing breast cancer mortality.
Detection of breast cancer
Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk. JAMA, April 2012, Vol. 307(13), p.1394-1404.
Berg, W.A., et al.
The addition of screening ultrasound or MRI to mammography in women at increased risk of breast cancer resulted in not only a higher cancer detection yield but also an increase in false-positive findings.
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