One in five need reoperation after breast-conserving surgery. The Lancet oncology, August 2012, Vol. 13(8), p.e334.
Bennett, N.
http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(12)70339-X/fulltext?rss=yes#
20% of women with breast cancer who undergo breast-conserving surgery will need a second operation, according to the results of a retrospective study from England.
Thursday, 16 August 2012
Late seromas after breast implants
Late seromas after breast implants: Theory and practice. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.423-435.
Spear, S.L., et al.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Late_Seromas_after_Breast_Implants___Theory_and.26.aspx
Late seromas surrounding breast implants are becoming an increasingly important issue in breast surgery. The authors report their experience with late seromas and describe their previous management options.
Spear, S.L., et al.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Late_Seromas_after_Breast_Implants___Theory_and.26.aspx
Late seromas surrounding breast implants are becoming an increasingly important issue in breast surgery. The authors report their experience with late seromas and describe their previous management options.
A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction
A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction: One stage versus two stages. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p. 254e-264e.
Eriksen, C., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/A_Prospective_Randomized_Study_Comparing_Two.3.aspx
Implant-based reconstruction is performed in the majority of women offered primary reconstruction for breast cancer. Two different expander implants were compared prospectively. The primary endpoint was the number of operations needed in each group to obtain patient satisfaction.
Eriksen, C., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/A_Prospective_Randomized_Study_Comparing_Two.3.aspx
Implant-based reconstruction is performed in the majority of women offered primary reconstruction for breast cancer. Two different expander implants were compared prospectively. The primary endpoint was the number of operations needed in each group to obtain patient satisfaction.
A prospective study of short- and long-term cosmetic outcome after reduction mammoplasty
A prospective study of short- and long-term cosmetic outcome after reduction mammoplasty from three different perspectives: The patient, a department surgeon and an independent private practitioner in plastic surgery. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.273-281.
Brieting, L.B., et al.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/A_Prospective_Study_of_Short__and_Long_Term.4.aspx
Numerous studies have examined the outcome of reduction mammaplasty. This study evaluates the cosmetic outcome after reduction mammaplasty from the perspective of the patient, a ward surgeon, and a private practitioner in plastic surgery, and analyzes which factors influence it.
Brieting, L.B., et al.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/A_Prospective_Study_of_Short__and_Long_Term.4.aspx
Numerous studies have examined the outcome of reduction mammaplasty. This study evaluates the cosmetic outcome after reduction mammaplasty from the perspective of the patient, a ward surgeon, and a private practitioner in plastic surgery, and analyzes which factors influence it.
Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy
Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.282-292.
Kronowitz, S.J.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Current_Status_of_Autologous_Tissue_Based_Breast.5.aspx
The threshold for patients with breast cancer to receive radiation therapy continues to be lowered. The author reviewed the literature to determine the clinical impact that the increasing use of radiation therapy has had on the management of patients with breast cancer who desire autologous tissue–based breast reconstruction.
Kronowitz, S.J.
http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Current_Status_of_Autologous_Tissue_Based_Breast.5.aspx
The threshold for patients with breast cancer to receive radiation therapy continues to be lowered. The author reviewed the literature to determine the clinical impact that the increasing use of radiation therapy has had on the management of patients with breast cancer who desire autologous tissue–based breast reconstruction.
Patterns of use and patient satisfaction with breast reconstruction among obese patients
Patterns of use and patient satisfaction with breast reconstruction among obese patients: Results from a population-based study. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.263-270.
Kulkarni, A.R., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Patterns_of_Use_and_Patient_Satisfaction_with.1.aspx
The national obesity epidemic is contributing to an increased proportion of overweight and obese breast cancer patients. The authors' purpose was to determine whether patterns of use and outcomes of reconstruction differed among obese and nonobese patients.
Kulkarni, A.R., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Patterns_of_Use_and_Patient_Satisfaction_with.1.aspx
The national obesity epidemic is contributing to an increased proportion of overweight and obese breast cancer patients. The authors' purpose was to determine whether patterns of use and outcomes of reconstruction differed among obese and nonobese patients.
Aesthetic improvement of the female breast in funnel chest deformity by surgical repair of the thoracic wall
Aesthetic improvement of the female breast in funnel chest deformity by surgical repair of the thoracic wall: Indication or lifestyle surgery? Plastic & reconstructive surgery, August 2012, Vol. 30(2), p.245e-253e.
Schwabegger, A.H., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Aesthetic_Improvement_of_the_Female_Breast_in.2.aspx
Adults are increasingly seeking surgical correction of pectus excavatum deformity, and the alternative custom-made silicone implant is not always desired or suitable. The paramount concern of female patients is the apparent strabism of their breasts. In some cases, the standard minimally invasive reconstruction of pectus excavatum procedure or a modified approach with a semiopen technique can help remodel the anterior thoracic wall and simultaneously reposition the female breasts to a desired and aesthetically acceptable position.
Schwabegger, A.H., et al.
http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Aesthetic_Improvement_of_the_Female_Breast_in.2.aspx
Adults are increasingly seeking surgical correction of pectus excavatum deformity, and the alternative custom-made silicone implant is not always desired or suitable. The paramount concern of female patients is the apparent strabism of their breasts. In some cases, the standard minimally invasive reconstruction of pectus excavatum procedure or a modified approach with a semiopen technique can help remodel the anterior thoracic wall and simultaneously reposition the female breasts to a desired and aesthetically acceptable position.
Thursday, 26 July 2012
BCCT.core - Can a computer program be used for the assessment of aesthetic outcome after breast reconstructive surgery?
BCCT.core - Can a computer program be used for the assessment of aesthetic outcome after breast reconstructive surgery? The breast, August 2012, Vol. 21(4), p.597-600.
Preuss, J., et al.
Aesthetic outcome is as an important endpoint of breast cancer treatment and is associated with better psychological recovery and improved quality of life. Researchers in Portugal have developed a computerised program, BCCT.core, to objectively assess aesthetic outcome of conservation breast treatment photographs. This study aimed to investigate the correlation between the Harris Scale and the BCCT.core program in patients who have undergone mastectomy and reconstruction for breast cancer.
Preuss, J., et al.
Aesthetic outcome is as an important endpoint of breast cancer treatment and is associated with better psychological recovery and improved quality of life. Researchers in Portugal have developed a computerised program, BCCT.core, to objectively assess aesthetic outcome of conservation breast treatment photographs. This study aimed to investigate the correlation between the Harris Scale and the BCCT.core program in patients who have undergone mastectomy and reconstruction for breast cancer.
Breast surgeons performing immediate breast reconstruction with implants
Breast surgeons performing immediate breast reconstruction with implants - Assessment of resource-use and patient-reported outcome measures. The breast, August 2012, Vol. 21(4), 590-596.
Robertson, S., et al.
http://www.thebreastonline.com/article/PIIS0960977612000045/abstract?rss=yes
Oncoplastic surgery, including immediate breast reconstruction (IBR), is expanding as a result of public demand. IBR in women with breast carcinoma is resource intense and the reconstruction is often completed concurrently with adjuvant oncological treatment. A series of 223 patients with implant-based IBRs, performed by breast surgeons 2005–2008, were analysed for use of resources and outcome.
Robertson, S., et al.
http://www.thebreastonline.com/article/PIIS0960977612000045/abstract?rss=yes
Oncoplastic surgery, including immediate breast reconstruction (IBR), is expanding as a result of public demand. IBR in women with breast carcinoma is resource intense and the reconstruction is often completed concurrently with adjuvant oncological treatment. A series of 223 patients with implant-based IBRs, performed by breast surgeons 2005–2008, were analysed for use of resources and outcome.
Angiosarcoma of the breast
Angiosarcoma of the breast: A difficult surgical challenge. The breast, August 2012, Vol. 21(4), p.584-589.
Hui, A., et al.
http://www.thebreastonline.com/article/PIIS0960977612000021/abstract?rss=yes
Breast angiosarcoma presents following radiotherapy after breast conserving surgery, in the setting of chronic lymphoedema after axillary dissection or as a primary tumour. The Peter MacCallum Cancer Centre has significant experience due to large breast and sarcoma units and as a primary radiotherapy centre. Our aims were to evaluate the management and locoregional and distant outcomes after breast angiosarcoma.
Hui, A., et al.
http://www.thebreastonline.com/article/PIIS0960977612000021/abstract?rss=yes
Breast angiosarcoma presents following radiotherapy after breast conserving surgery, in the setting of chronic lymphoedema after axillary dissection or as a primary tumour. The Peter MacCallum Cancer Centre has significant experience due to large breast and sarcoma units and as a primary radiotherapy centre. Our aims were to evaluate the management and locoregional and distant outcomes after breast angiosarcoma.
Ultrasound and fine needle aspiration cytology of axillary lymph nodes in breast cancer
Ultrasound and fine needle aspiration cytology of axillary lymph nodes in breast cancer: To do or not to do? The breast, August 2012, Vol. 21(4), p.578-583.
Leenders, M.W.H., et al.
http://www.thebreastonline.com/article/PIIS0960977612000902/abstract?rss=yes
The purpose of our study was to evaluate the accuracy of axillary ultrasound and ultrasound-guided fine needle aspiration cytology in the preoperative diagnosis of axillary metastases.
Leenders, M.W.H., et al.
http://www.thebreastonline.com/article/PIIS0960977612000902/abstract?rss=yes
The purpose of our study was to evaluate the accuracy of axillary ultrasound and ultrasound-guided fine needle aspiration cytology in the preoperative diagnosis of axillary metastases.
Pregnancy-associated breast cancers
Pregnancy-associated breast cancers: Do they differ from other breast cancers in young women? The breast, August 2012, Vol. 21(4), p.550-555.
Genin, A.S., et al.
http://www.thebreastonline.com/article/PIIS0960977612000847/abstract?rss=yes
The impact of pregnancy in the physiopathology of pregnancy-associated breast cancer (PABC) is still unclear.
Genin, A.S., et al.
http://www.thebreastonline.com/article/PIIS0960977612000847/abstract?rss=yes
The impact of pregnancy in the physiopathology of pregnancy-associated breast cancer (PABC) is still unclear.
We compared the characteristics of PABCs and breast cancers not associated with pregnancy (non-PABCs) in terms of their loco-regional invasion and histological phenotype.
Factors predicting the non-sentinel lymph node involvement in breast cancer patients
Factors predicting the non-sentinel lymph node involvement in breast cancer patients with sentinel lymph node metastases. The breast, August 2012, Vol. 21(4), p.518-523.
Boler, D.E., et al.
http://www.thebreastonline.com/article/PIIS0960977612000392/abstract?rss=yes
In a significant proportion of patients, the sentinel lymph node (SLN) is the only involved axillary node. The goal of the present study was to identify predictive factors associated with a positive SLN and with a positive non-SLN in patients in whom axillary lymph node dissection was performed.
Boler, D.E., et al.
http://www.thebreastonline.com/article/PIIS0960977612000392/abstract?rss=yes
In a significant proportion of patients, the sentinel lymph node (SLN) is the only involved axillary node. The goal of the present study was to identify predictive factors associated with a positive SLN and with a positive non-SLN in patients in whom axillary lymph node dissection was performed.
The neoadjuvant net
The neoadjuvant net: A patient- and surgeon-friendly device to facilitate safe breast-conserving surgery in patients who underwent neoadjuvant treatment. The breast, August 2012, Vol. 21(4), p.499-502.
Taffurelli, M., et al.
http://www.thebreastonline.com/article/PIIS096097761100436X/abstract?rss=yes
The primary goal of the study was to describe an innovative and helpful tool in defining the minimal surgical margins necessary during breast-conserving surgery after neoadjuvant treatment: the Neoadjuvant Net . The secondary endpoint was to assess its usefulness in achieving postoperative disease-free margins and reducing Ipsilateral Breast Tumor Recurrences.
Taffurelli, M., et al.
http://www.thebreastonline.com/article/PIIS096097761100436X/abstract?rss=yes
The primary goal of the study was to describe an innovative and helpful tool in defining the minimal surgical margins necessary during breast-conserving surgery after neoadjuvant treatment: the Neoadjuvant Net . The secondary endpoint was to assess its usefulness in achieving postoperative disease-free margins and reducing Ipsilateral Breast Tumor Recurrences.
SPEC/CT scans allow precise anatomical location of sentinel lymph nodes in breast cancer
SPEC/CT scans allow precise anatomical location of sentinel lymph nodes in breast cancer and redefine lymphatic drainage from the breast to the axilla. The breast, August 2012, Vol. 21(4), p.480-486.
Uren, R.F., et al.
http://www.thebreastonline.com/article/PIIS096097761100405X/abstract?rss=yes
Historical studies of lymphatic drainage of the breast have suggested that the lymphatic drainage of the breast was to lymph nodes lying in the antero-pectoral group of nodes in the axilla just lateral to the pectoral muscles. The purpose of this study was to confirm this is not correct.
Uren, R.F., et al.
http://www.thebreastonline.com/article/PIIS096097761100405X/abstract?rss=yes
Historical studies of lymphatic drainage of the breast have suggested that the lymphatic drainage of the breast was to lymph nodes lying in the antero-pectoral group of nodes in the axilla just lateral to the pectoral muscles. The purpose of this study was to confirm this is not correct.
Updated follow up of patients treated with the oncoplastic 'crescent' technique for breast cancer
Updated follow up of patients treated with the oncoplastic 'crescent' technique for breast cancer. The breast, August 2012, Vol. 21(4), p.475-479.
Aljarrah, A., et al.
http://www.thebreastonline.com/article/PIIS0960977611004024/abstract?rss=yes
Conservative treatment of lower pole breast cancer in small or medium sized breasts could be attended with poor cosmetic outcomes. The purpose of this study was to assess the results of the “Crescent” Oncoplastic technique in this indication.
Aljarrah, A., et al.
http://www.thebreastonline.com/article/PIIS0960977611004024/abstract?rss=yes
Conservative treatment of lower pole breast cancer in small or medium sized breasts could be attended with poor cosmetic outcomes. The purpose of this study was to assess the results of the “Crescent” Oncoplastic technique in this indication.
The effect of introducing an in-theatre intra-operative specimen radiography system
The effect of introducing an in-theatre intra-operative specimen radiography system on the management of palpable breast cancer within a single unit. The breast, August 2012, Vol. 21(4), p.459-463.
Layfield, D.M., et al.
http://www.thebreastonline.com/article/PIIS0960977611003778/abstract?rss=yes
Intra-operative specimen radiography (IOSR) is used to screen specimens during breast-conserving surgery and attempt to identify incompletely excised lesions. Universal use of IOSR during surgery for impalpable breast cancer is advocated by current guidelines. This study evaluates the role of IOSR during breast-conserving surgery for palpable breast cancer.
Layfield, D.M., et al.
http://www.thebreastonline.com/article/PIIS0960977611003778/abstract?rss=yes
Intra-operative specimen radiography (IOSR) is used to screen specimens during breast-conserving surgery and attempt to identify incompletely excised lesions. Universal use of IOSR during surgery for impalpable breast cancer is advocated by current guidelines. This study evaluates the role of IOSR during breast-conserving surgery for palpable breast cancer.
Sentinel lymph node biopsy using indigo carmine blue dye
Sentinel lymph node biopsy using indigo carmine blue dye and the validity of '10% rule' and '4 nodes rule.' The breast, August 2012, Vol. 21(4), p.455-458.
Nagao, T., et al.
http://www.thebreastonline.com/article/PIIS096097761100378X/abstract?rss=yes
This is the study which assessed sentinel lymph node biopsy (SNB) using indigo carmine blue dye and the validity of the ‘10% rule’ and ‘4 nodes rule’. Patients (302) were performed SNB using the combined radioisotope (RI)/indigo carmine dye method. Excised SLNs were confirmed whether they were stained and numbered in order of RI count and the percentage of radioactivity as compared to the hottest node was calculated.
Nagao, T., et al.
http://www.thebreastonline.com/article/PIIS096097761100378X/abstract?rss=yes
This is the study which assessed sentinel lymph node biopsy (SNB) using indigo carmine blue dye and the validity of the ‘10% rule’ and ‘4 nodes rule’. Patients (302) were performed SNB using the combined radioisotope (RI)/indigo carmine dye method. Excised SLNs were confirmed whether they were stained and numbered in order of RI count and the percentage of radioactivity as compared to the hottest node was calculated.
Accuracy of needle biopsy of breast lesions visible on ultrasound
Accuracy of needle biopsy of breast lesions visible on ultrasound: Audit of fine needle versus core needle biopsy in 3233 consecutive samplings with ascertained outcomes. The breast, August 2012, Vol. 21(4), p.449-454.
Brancato, B., et al.
http://www.thebreastonline.com/article/S0960-9776(11)00375-4/abstract
Core needle biopsy (CNB) has progressively replaced fine needle aspiration cytology (FNAC) in the diagnosis of breast lesions. Less information is available on how these tests perform for biopsy of ultrasound (US) visible breast lesions. This study examines the outcomes of CNB and FNAC in a large series ascertained with surgical histology or clinical-imaging follow-up.
Brancato, B., et al.
http://www.thebreastonline.com/article/S0960-9776(11)00375-4/abstract
Core needle biopsy (CNB) has progressively replaced fine needle aspiration cytology (FNAC) in the diagnosis of breast lesions. Less information is available on how these tests perform for biopsy of ultrasound (US) visible breast lesions. This study examines the outcomes of CNB and FNAC in a large series ascertained with surgical histology or clinical-imaging follow-up.
Lymphatic mapping after previous breast surgery
Lymphatic mapping after previous breast surgery. The breast, August 2012, Vol. 21(4), p.444-448.
Maaskant-Braat, A.J.G., et al.
http://www.thebreastonline.com/article/PIIS0960977611003742/abstract?rss=yes
To assess the feasibility of lymphatic mapping and determine the lymphatic drainage pathways in patients previously treated with breast conserving therapy.
Maaskant-Braat, A.J.G., et al.
http://www.thebreastonline.com/article/PIIS0960977611003742/abstract?rss=yes
To assess the feasibility of lymphatic mapping and determine the lymphatic drainage pathways in patients previously treated with breast conserving therapy.
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