Presentation
A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors’ suggested management approaches. [ascopubs.org]
Presentations start promptly at 6 p.m. 5:30 p.m. – Arrival and check-ins; Resource Center Open 6:00 p.m. – Welcome & kickoff with Sunday Burquest, breast cancer survivor and finalist on Survivor reality show 6:15-6:45 p.m. – Dr. [eventbrite.com]
When presented with the choice, some women decide not to undergo reconstruction. There are alternatives, such as breast prostheses and specially fitted bras and forms, which can simulate the look of a natural breast under clothing and swimsuits. [moffitt.org]
The Penchansky and Andersen frameworks present access as a static concept, whereas access was seen as a dynamic process in our study. [bmjopen.bmj.com]
Your breast cancer surgeon will discuss this with you, but generally a mastectomy is recommended if: • Cancer is present in two or more areas of the breast • The breast has been treated in the past with radiotherapy • A large tumour is found in a small [bapras.org.uk]
Entire Body System
- Localized Pain
Other signs and symptoms include local pain and tenderness, irregularity of the flap surface, and an erythematous rash. Breast cancer also may arise in the contralateral breast through metastasis. [pubs.rsna.org]
Gastrointestinal
- Overeating
Over the next few months, through a small valve under your skin, your doctor or nurse uses a needle to inject saline into the valve, filling the balloon in stages. This gradual process allows the skin to stretch over time. [mayoclinic.org]
An important benefit of the DIEP over the TRAM Flap and other outdated procedures is that the muscle of the abdominal wall is protected and core strength is preserved. [breastcenter.com]
Implants are better than they have ever been, and we can place them either under the pectoralis major muscle in your chest (subpectoral reconstruction) or over the muscle (prepectoral reconstruction). [seattlecca.org]
Her doctor glossed over the part of the procedure in which the large pectoralis major muscles are detached from some underlying ribs, pulled off the chest wall, then stretched out for several months to accommodate breast implants. [nytimes.com]
Any mastectomy for cancer should prioritise clearance over the index lesion. [ecancer.org]
Cardiovascular
- Vascular Disease
Delayed reconstruction might be recommended for patients with advanced disease, those for whom there are uncertainties about disease control, or those not interested in or prepared to make a reconstructive decision at the time of their oncologic procedure [ncbi.nlm.nih.gov]
Skin
- Skin Lesion
The ringlike circular opacity in b is a fiducial mark for a skin lesion. The most common benign changes seen in breasts reconstructed with autologous tissue flaps are edema, seromas, hematomas, fat necrosis, and fibrosis ( 29 ). [pubs.rsna.org]
- Ulcer
The risk of local recurrence is influenced by several factors: the size and histologic grade of the primary tumor, pathologic status of axillary nodes at the time of mastectomy, presence or absence of invasion or ulceration of the skin, involvement of [pubs.rsna.org]
Workup
If any clinical suspicion for disease exists, workup may include a 12-lead ECG, Holter monitoring, echocardiogram, troponin levels, a stress test, or, at the very least, a cardiology consultation. [clinicalpainadvisor.com]
Table 2 Benign Findings in Women with MR Imaging Abnormalities in a Reconstructed Breast Breast cancer recurrence was depicted at MR imaging and confirmed at further diagnostic workup in five of the 119 women (4%), three of whom were carriers of a BRCA [pubs.rsna.org]
Treatment
Mastectomy is still the best treatment for women with certain types of breast cancer. [bapras.org.uk]
What cancer treatments you’ve undergone. Healing can be affected by your treatment. For example, if you’ve had radiation treatments in the past, your body may be more likely to reject implants from prothestic reconsutruction. Your body type. [nm.org]
Treatment for early breast cancer aims to remove the cancer and reduce the risk of the cancer spreading or coming back. One of the main treatments for breast cancer is surgery. [betterhealth.vic.gov.au]
breast-reconstruction surgery should never delay or affect cancer treatments. [utswmed.org]
A destination for lymphedema surgery Lymphedema, or a build-up of lymph fluid that causes swelling and pain, can be a side effect of breast cancer treatment. [rush.edu]
Prognosis
Studies have shown that immediate breast reconstruction does not increase the time to chemotherapy or worsen the prognosis. [uchealth.com]
Contralateral breast carcinoma: an assessment of risk and prognosis in stage I (T1N0M0) and stage II (T1N1M0) patients with 20-year follow-up. Surgery. 1989; 106 (5):904–10. [ PubMed ] [ Google Scholar ] 11. [ncbi.nlm.nih.gov]
The prognosis for patients with a subcutaneous recurrence is better than that for patients with a chest wall recurrence in regard to the survival rate (8-year survival, 61% versus 45%), risk of metastasis (57% versus 91%), and occurrence of a disease-free [pubs.rsna.org]
The prognosis of breast cancer patients after mastectomy and immediate breast reconstruction: a meta-analysis. PLoS One (2015) 10 (5):e0125655. doi:10.1371/journal.pone.0125655 PubMed Abstract | CrossRef Full Text | Google Scholar 19. [frontiersin.org]
Epidemiology
Breast cancer incidence is projected to exceed all cancers by 2020, according to a recent population-based National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database study [ 3 ]. [ncbi.nlm.nih.gov]
According to the Surveillance, Epidemiology, and End Results (SEER) database, approximately 12.4% of women are diagnosed as having breast cancer over the course of their lifetime. 1 After implementation of the Women’s Health and Cancer Rights Act, insurance [jamanetwork.com]
Prevention
This is called preventative or prophylactic mastectomy. Mastectomy may also be used to treat breast cancer in women who have been diagnosed with the disease. [breast-cancer.canceraustralia.gov.au]
The goal is to prevent the discomfort of unwanted change, while enabling you to accept what has occurred and continue on with your life. [nationalbreastcancer.org]
If you have a mastectomy to treat or prevent cancer, breast reconstruction can surgically recreate a natural-looking breast. The procedure can be performed at the time of your mastectomy or at a later date. [massgeneral.org]
[…] will have breast conservation surgery, such as partial mastectomy or lumpectomy (surgical removal of the tumor and surrounding breast tissue) Found to have a genetic mutation and will have prophylactic mastectomy (removal of non-cancerous breast to prevent [mdanderson.org]
Overview Breast reconstruction is a surgical procedure that restores shape to your breast after mastectomy — surgery that removes your breast to treat or prevent breast cancer. [mayoclinic.org]