Breast Surgical Techniques and Interdisciplinary Management

ABOUT THIS BOOK

• Each chapter provides a focused clinical outline of in-office and OR-based treatment procedures for breast surgeons
• A broad overview of Breast Surgical Techniques and Interdisciplinary Management written by leaders in the field
• Each section provides an in-depth look at new and innovative procedures in breast surgical oncology as well as office management

Back cover copy – Dirbas & Scott-Connor If one were looking for a one-word description of both clinicians’ and patients’ reaction to a diagnosis of breast cancer that word would be “complexity.” As in most complex situations, the expertise of many parties is required. Breast cancer management, in fact, has become the textbook example of multidisciplinary patient management. The purpose of Breast Techniques and Interdisciplinary Management is to bring experts together to provide a comprehensive, best practice-based approach so that clinicians provide the best possible outcomes for their patients. There are many excellent textbooks available on the broad topic of breast disease, the inevitable question (raised by the editors themselves before undertaking this project) is simple: why another breast book? Breast Techniques and Interdisciplinary Management was written with the intention of providing exactly what the title indicates: an interdisciplinary approach to the management of breast disease, with a focus on current surgical best practices. The expert chapter authors from many medical specialties provide insight into the complicated management of breast cancer patients. Designed not just for residents and fellows, but also for clinicians whose practices are changing, Breast Techniques and Interdisciplinary Management provides practical patient management, with each chapter containing both “key concepts” and “best practice” advice. In fact, the bread-and-butter chapters mirror the patient experience from diagnosis, evaluation, treatment and survivorship. From the foreword: “The great complexity of decisions and care, from diagnosis to eventual follow-up, is well illustrated in this book, whose concise chapters present the individual contributions of specialists and the integrated, multifaceted nature of each of the many steps needed in the best care of women with breast cancer. Each chapter is an easy to review summary by an expert of these many facets of care integrating particular skills for the common good of contemporary patient management. … General surgeons, surgical residents, medical students, and allied professionals will all be aided by the ability to quickly review the individual skills and knowledge needed for modern breast cancer care.”

Content Level » Professional/practitioner
Keywords » benign proliferative breast disease - breast cancer - breast disease - surgery
Related subjects » Oncology & Hematology - Surgery

TABLE OF CONTENTS

Foreword.- Section One-Fundamentals.- Professionalism in the Approach to the Patient.- The Clinical Breast Cancer Team.- The Role of the Specialist Breast Nurse.- Social Work and Breast Cancer Care.- Reducing Medical Malpractice Risk in Breast Cancer Care: A Surgical Perspective.- Career Development for Breast Surgical Oncology.- Successful Management of a Breast Surgery Practice.- Section Two-Biologic Principles.- Normal Morphology, Physiological Changes, and Benign Breast Disease.- The Biology of Breast Cancer.- Section Three-Initial Evaluation of the Patient.- Obtaining a History and Performing the Clinical Breast Examination.- Primer on Ultrasound for the Breast Surgeon.- The Complete Radiology Workup.- Section Four-Common Presenting Complaints and Concerns.- Identification and Management of Women at High Familial Risk for Breast Cancer.- Clinical Management of Breast Pain.- Breast Mass.- Breast Infection.- The Evaluation and Treatment of Nipple Discharge.- Gynecomastia.- The Effects of Menopausal Hormone Therapy on Breast Cancer: Evidence from the Women’s Health Initiative Randomized Placebo-Controlled Trials.- Section Five-Diagnostic Techniques.- Office Diagnostic Procedures.- Image-Guided Breast Biopsy.- Breast Biopsy Techniques.- Mammary Ductoscopy.- Section Six - Breast Cancer Overview.- Assessment Of Extent Of Disease In Primary Breast Cancer.- Breast Cancer Staging: Predicting Outcome and Response to Treatment.- Breast Cancer Treatment Guidelines.- Introduction to Gene Expression Profiling in Breast Cancer.- Clinical Trial Overview and Enrollment.- Psychiatric and Psychological Issues.- Fertility Issues for Newly Diagnosed Women Interested in Child Bearing – Strategies and Options.- Section Seven - Breast Surgery – Management of the Primary Tumor.- Regional Anesthesia for Breast Surgery.- Lumpectomy.- Oncoplastic Techniques for Breast Conservation Surgery.- Ablative Techniques.- Mastectomy.- Nipple and Areola-Sparing Mastectomy.- Integration of Neoadjuvant Systemic Therapy Into Surgical Practice.- Oncologic Breast Reconstruction: Principles and Practice.- Section Eight - Breast Surgery – Sentinel Node Biopsy and Axillary Dissection.- Sentinel Lymph Node Biopsy—an Overview.- Sentinel Lymph Node Biopsy: Radiotracer Technique at Memorial Sloan-Kettering Cancer Center.- Sentinel Node Biopsy Using Lymphazurin.- The Use of Methylene Blue as a Tracer Agent in Sentinel Lymph Node Biopsy.- Axillary Lymph Node Dissection.- Section Nine - Breast Surgery – Special Issues.- Evaluation and Management of Women Presenting with Breast Symptoms During Pregnancy.- Paget’s Disease Of The Breast.- Male Breast Cancer.- Breast Sarcomas.- Axillary Metastases with Unknown Primary.- Section Ten - Cytology and Pathology.- Breast Cytology.- The Breast Pathology Report.- Risk Lesions of the Breast: Usual Ductal Hyperplasia, Atypical Ductal Hyperplasia, Lobular Neoplasia, and the Spectrum of Columnar Cell Alterations.- Duct Carcinoma In Situ – a Gordian Knot Untied.- Pathology: Invasive Carcinoma.- Interpreting Breast Pathology in the Setting of Neoadjuvant Chemotherapy.- Pathology of Sentinel Lymph Nodes and Axillary Nodes.- Selected Fibroepithelial, Mesenchymal and Hematolymphoid Tumors of the Breast.- Banking tissue specimens for research.- Section Eleven - Systemic Therapy for Breast Cancer.- Basic Principles of Anti-Neoplastic Therapies.- Neoadjuvant Endocrine Therapy in the Treatment of Early-Stage Breast Cancer.- Neoadjuvant Systemic Therapy For Breast Cancer.- Adjuvant Systemic Therapy.- Adjuvant Endocrine Therapy.- Systemic Treatment During Pregnancy.- Breast Cancer in the Elderly.- Complementary and Alternative Medicine in Breast Cancer.- Section Twelve - Radiation Therapy of the Breast.- Basic Principles Of Radiobiology.- Whole Breast Radiotherapy.- Accelerated, Partial Breast Irradiation Overview.- PBI: Brachytherapy Techniques.- Accelerated Partial Breast Irradiation: Balloon Catheter Brachytherapy.- APBI 3D Conformal External Beam - The NYU Technique.- Accelerated, Partial Breast Irradiation with Intraoperative Radiotherapy.- Post-Mastectomy Radiation Therapy.- Regional Nodal Radiation as an Alternative to Surgery.- Controversial Indications For Breast Conserving Therapy And Radiation.- Section Thirteen - The Breast Cancer Survivor.- Survivorship.- Follow-up Strategies After Breast Cancer Treatment.- Pregnancy After Breast Cancer.- The Potential of the Electronic Health Record in the Breast Center.- Clinical Breast Examination After Treatment of Breast Cancer.- Breast Imaging Following Breast Conservation Therapy.- Detection and Management of Ipsilateral Breast Cancer Recurrence.- Lumpectomy or Mastectomy in Patients Presenting with Metastatic Disease.- Managing Breast Cancer- Associated Lymphedema.- Chronic Pain After Surgery for Breast Cancer.- Systemic Treatment Of Metastatic Breast Cancer

AUTHORS & EDITORS

Frederick M. Dirbas, M.D. Associate Professor of Surgery Breast Disease Management Group Leader Clinical Care Sub-Team Division of Surgical Oncology Department of Surgery Stanford University School of Medicine, Stanford Cancer Center 875 Blake Wilbur Drive, CC2235 Stanford, CA 94025, USA Carol E. H. Scott-Conner, M.D., Ph.D. Department of Surgery University of Iowa Hospitals and Clinic 200 Hawkins Drive, 1516 JCP Iowa City, IA 52242-1086, USA