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]
The present study was assigned exempt status by the University of Michigan Institutional Review Board. [jamanetwork.com]
Entire Body System
-
Falling
Allergan Biocell Device Withdrawal Information Breast reconstruction generally falls into two categories: implant-based reconstruction or flap reconstruction. Implant reconstruction relies on breast implants to help form a new breast mound. [plasticsurgery.org]
Breast reconstruction falls into two general categories: autologous and alloplastic. Autologous uses tissue from your own body, while alloplastic uses a synthetic implant. [elcaminohealth.org]
The texture and feel of a breast reconstructed using tissue expansion methods is unlikely to be normal; it may be firmer than your other breast or it may not ‘fall’ naturally. [cancersa.org.au]
Die Rekonstruktion sollte auf keinen Fall den Beginn einer Chemotherapie beziehungsweise Radiatio – zum Beispiel durch offene Wunden – innerhalb von 8–12 Wochen verzögern ( 4, 5, e13, e14 ). [aerzteblatt.de]
-
Inflammation
[…] appearance of the implant through the skin, infection, unwanted shape, unintended blood or fluid collection, capsular contracture (tightening of scar tissue that causes the breast to harden), premature device removal, bone/pain/sensation changes, and inflammation [natrelle.com]
-
Asymptomatic
They concluded that mammographic screening performed in the cohort of women with a TRAM flap was less effective than routine mammography performed for the de-tection of primary breast cancer in asymptomatic women in their 40s. [pubs.rsna.org]
-
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]
Respiratoric
-
Pneumonia
Pulmonary: COPD Patients with pulmonary disease are at increased risk of postoperative complications such as pneumonia after general anesthesia. [clinicalpainadvisor.com]
Cardiovascular
-
Thrombosis
The rate of ischemic complications is similar to that with free TRAM flaps (both muscle-bearing and muscle-sparing), with a 5% risk of total flap loss, primarily due to venous thrombosis. [pubs.rsna.org]
musculoskeletal in orthopedic procedures, hematologic in a cancer patient) Cancer surgery as well as any lengthy procedures such as this are a risk factor for the development of deep vein thrombosis and subsequent pulmonary emboli. [clinicalpainadvisor.com]
Deep vein thrombosis No difference No difference Pulmonary embolism No difference No difference Surveillance following breast reconstruction. [ncbi.nlm.nih.gov]
When microsurgical reconstruction is performed, the increased risk of thrombosis caused by tamoxifen is important. [aerzteblatt.de]
-
Vascular Disease
disease, etc) Increased time to make reconstructive decisions Decisions can be based on final tumour pathology More time to prepare for recovery Need for multiple operations More complicated operations (owing to missing skin envelope and possibly nipple [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]
Musculoskeletal
-
Muscle Twitch
There is a higher risk of seroma development, which usually settles after repeated aspirations, and some people experience muscle twitching if the nerve supply to the flap has been preserved. This can be corrected by severing the nerve. [breastcancerfoundation.org.nz]
Neurologic
-
Vertigo
Chronic disease A history of disease such as seizures, vertigo, or old strokes needs to be well-documented and very stable in nature to proceed with elective surgery. [clinicalpainadvisor.com]
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]
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]
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]
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]
While the primary focus of any cancer treatment plan is to eliminate the cancer, a secondary aspect may be to enhance a patient’s appearance – if the patient chooses to do so. [moffitt.org]
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]
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]
This allows avoidance of artificial mesh placement into the abdomen as well as preventing hernia and long-term abdominal weakness. [breastcenter.com]