By Tari A. King, Patrick I. Borgen
A realistic advisor to the tactics interested by surgical procedure for breast melanoma, Atlas of tactics in Breast melanoma surgical procedure is a collaboration of practitioners from one of many world's best melanoma facilities. Designed to offer readers a close evaluation, all the needful tactics is comprehensively profiled, together with mastectomy, lumpectomy, quadrantectomy, and different remedies. The authors speak about the newest advancements in sentinel lymph node biopsy, refinements to the vintage tools of excision and of reconstruction, and surgical matters within the male breast melanoma sufferer.
Each technique is totally illustrated, step by step and in colour. The accompanying DVD includes stay surgical photos with spoken statement. you could overview the strategies in full-color images after which view six chosen tactics on video. the mix of pictures, written textual content, surgical photos, and spoken remark is without doubt one of the so much sensible techniques to realizing complicated surgeries on hand with out truly scrubbing into the case. via growing the root of this article solely from colour photos of exact surgeries, the authors provide a vantage aspect just like that of the working healthcare professional.
The atlas presents worthwhile info with assurance starting from the main simple precepts interested in making plans and executing a surgical breast biopsy to classy concepts of breast-conservation remedy, local node biopsy, and breast reconstruction. The bankruptcy authors have, within the final decade, jointly handled greater than 10,000 sufferers with fundamental operable breast melanoma. They current a special viewpoint on methods to the issues surrounding the surgery of the breast melanoma patient-approaches which have been subtle again and again over.
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Extra info for Atlas of Procedures in Breast Cancer Surgery
References 1. 2. Borgen PI, Mann BG. Breast cancer treatment-surgery. In: (Borgen PI, Hill AD, eds) Breast Diseases. (Landes Bioscience: Georgetown, 2000) 117–36. Cody HS3. Clinical aspects of sentinel node biopsy. Breast Cancer Res 2001; 3: 104–8. 3 Borgen PI, Moore MP, Heerdt AS, Petrek JA. Breast conservation therapy for invasive carcinoma of the breast. Curr Probl Surgery 1995; 32: 190–247. ch06 13/10/04 9:07 am Page 57 6 Re-excision of margins Hiram S Cody III Introduction Technique of re-excision For breast cancer patients desiring breast-conservation therapy (BCT), the best opportunity to obtain a negative margin of excision is at the time of the first operation.
Drains are used only for the largest of operative defects. 5 (a–d). Hemostasis is achieved with electrocautery, and the cavity is closed in several layers. Interrupted chromic sutures are loosely placed in the deep tissues to minimize the size of the defect. Interrupted 3–0 braided (polyglactin 910) sutures are then placed in the deep dermis to approximate the skin edges, and the skin is closed with a running 4–0 subcuticular stitch. ch07 13/10/04 9:08 am Page 63 7 Central lumpectomy with resection of the nipple–areolar complex Tari A King and Patrick I Borgen Introduction In recent years both relative and absolute contraindications to breast-conservation therapy (BCT) have been challenged.
Cosmetic concerns are a relative contraindication to BCT. There has been a perception that central lumpectomy with resection of the nipple-areolar complex (NAC) compromises the aesthetic outcome of the operation. However, we have found two groups of patients in whom central lumpectomy, including resection of the NAC, may produce a more acceptable result than that offered by mastectomy with reconstruction. The first group comprises patients presenting with Paget’s disease of the nipple and either a small subareolar mass or no associated breast mass on breast imaging.
Atlas of Procedures in Breast Cancer Surgery by Tari A. King, Patrick I. Borgen