Thursday 12 May 2016

The effects of physical self-management on quality of life in breast cancer patients: A systematic review

The effects of physical self-management on quality of life in breast cancer patients: A systematic review

The Breast August 2016Volume 28, Pages 20–28

Van Dijck, S et al.

The aim of this systematic review is to report on the effects of different physical self-management techniques on quality of life (QoL) of patients with breast cancer. Therefore a systematic literature search was performed using four different databases (PubMed, Cochrane, Embase, Web of science). The inclusion criteria were: 1) adults >18 y, 2) patients with breast cancer, 3) physical self-management techniques during or after initial treatment, 4) outcome measure needed to be an indicator of patients' quality of life 5), Randomized Controlled Trials of all ages.

Diagnostic performance of contrast-enhanced spectral mammography: Systematic review and meta-analysis

Diagnostic performance of contrast-enhanced spectral mammography: Systematic review and meta-analysis


The Breast August 2016 Volume 28, Pages 13–19
Tagliafico A S et al

To estimate sensitivity and specificity of CESM for breast cancer diagnosis.
Systematic review and meta-analysis of the accuracy of CESM in finding breast cancer in highly selected women. We estimated summary receiver operating characteristic curves, sensitivity and specificity according to quality criteria with QUADAS-2.

Margins in breast conserving surgery: The financial cost & potential savings associated with the new margin guidelines

Margins in breast conserving surgery: The financial cost & potential savings associated with the new margin guidelines


The Breast August 2016Volume 28, Pages 1–4

Singer L,Brown E, Lanni T.

In this study, we compare the indications for re-excision, the findings of additional tumor in the re-excision specimen as they relate to margin status, and costs associated with re-excision based on recent new consensus statements.

The Blood Supply of the Breast Revisited

The Blood Supply of the Breast Revisited


Plastic & Reconstructive Surgery: May 2016 - Volume 137 - Issue 5 - p 1388–1397
van Deventer, PV. Graewe, F R.

Background: Many surgeons are under the impression that the blood supply is clearly defined in textbooks. Unfortunately, the majority of textbooks supply inadequate information and illustrations can be misleading in many instances. None of the textbooks describe a segmental pattern of blood supply when in actual fact a basic segmental pattern does exist. The reason for inadequate information is the perpetuation of facts since the work of the pioneers Cooper and Manchot from one textbook to another. A paucity of research studies thereafter and the fact that the results of some of these studies did not find their way into textbooks is another contributing factor. Methods: The findings of research studies since the descriptions by Cooper and Manchot are analyzed and compared in an effort to find common ground and its clinical implication. Results: Researchers concurred on the main sources of blood supply; these are internal thoracic, lateral thoracic, anterior intercostal, and acromiothoracic (thoracoacromial) arteries. However, the different research studies showed considerable variation in the branches from the main sources to supply the nipple-areola complex. Conclusions: Even though the locations of the main sources of blood supply are constant, partial or complete absence of branches from the main sources does occur and therefore the blood supply to the nipple-areola complex is unpredictable. Cognizance of the basic segmental pattern and the variations resulting from embryologic development will be helpful for the surgeon to use or adapt a technique to minimize the risk of nipple necrosis.

Surgical treatment of breast lesions at a Day Centre: Experience of the European Institute of Oncology

Surgical treatment of breast lesions at a Day Centre: Experience of the European Institute of Oncology

The Breast June 2016Volume 27, Pages 169–174

Ballardini B et al.

Breast cancer is the commonest malignancy in women worldwide. The reduced aggressiveness of breast cancer surgery has made it possible treat patients in the day surgery setting. The European Institute of Oncology, Milan, opened its new Day Center in May 2010. From May 2010 to December 2014, 17,087 patients with breast conditions were treated by the Institute's Division of Senology, 4132 (24.2%) of these in the day surgery setting, including malignant and benign conditions; 204 (4.9%) were not discharged on the day of surgery, being converted to inpatients; five (0.1%) patients returned to hospital for persistent hematoma.

Positive psychological functioning in breast cancer: An integrative review

Positive psychological functioning in breast cancer: An integrative review


The Breast June 2016Volume 27, Pages 136–168
Casellas-Grau A, Vives J, Font A, Ochoa C

This integrative review aimed to analyze the research into positive psychological functioning after breast cancer, and to integrate the most relevant findings relating to sociodemographic, medical and psychosocial factors.Relevant outcomes were identified from electronic databases (Medline, PsycINFO, Web of Science, Scopus, Cochrane, CINAHL, and Wiley Online Library) up to July 2015. A Google search was performed to identify unindexed literature. Dissertations and theses were searched on Proquest Dissertations and Theses, DIALNET and TDX.