Oncoplastic and Reconstructive Surgery for Breast Cancer (eBook)

The Institut Curie Experience

A. Fitoussi, M. G. Berry, B. Couturaud, R. J. Salmon (Autoren)

eBook Download: PDF

2009 | 2009
XI, 150 Seiten
Springer Berlin (Verlag)
978-3-642-00144-4 (ISBN)

Infos

'Oncoplastic and Reconstructive Surgery for Breast Cancer' describes the reconstructive techniques that have been refined over the past decade by surgeons in a very high volume unit. It provides clear descriptions of all the available techniques. With proven experience in the procedures described and detailed scientific evaluation, it furthermore provides evidence-based literature reviews.

The book starts with the relevant anatomical background and passes through all the major oncoplastic and reconstructive procedures available to the breast cancer patient. It includes management of breast and nipple-areolar complex reconstruction in addition to symmetrising surgery and the new technique of fat transfer. It also covers all multidisciplinary aspects and genetics thus giving an up-to-date status report.

Inhalt

Preface 5
Contents 6
Introduction 11
Anatomical Review 13
References 17
1 Breast-Conserving Surgery Standard Breast Conserving Surgery 18
Incisions for Tumours Not Requiring Oncoplastic Surgery 18
Nonconservative Treatment 21
After Previous Plastic or Breast Surgery 23
2 Oncoplastic Breast Surgery 25
Breast-Conserving Surgery for Central Tumours: “NACectomies” 25
Plastic Surgical Techniques in Breast Cancer Surgery (Oncoplastic Breast Surgery) 28
References 49
3 Breast Reconstruction: Immediate and Delayed 51
Prostheses and Expanders 51
Latissimus Dorsi Flap 67
Transverse Rectus Abdominis Musculocutaneous (TRAM) Flap 79
Free Flaps 89
References 96
4 Particular Cases 98
Omentoplasty or Kiricuta’s Flap 98
Conclusion 99
Local Fasciocutaneous Flaps 99
The San Venero 101
References 101
5 Aesthetic Sequelae of Breast-Conserving Therapy (ASBCT) 102
Introduction 102
Classification 102
Conclusion 113
References 113
6 Second-Stage Surgery 114
Position and Form of the NAC 114
Areolar Reconstruction 115
Other Reconstructive Techniques 119
Conclusion 123
Symmetrising Surgery 123
References 124
7 Lipomodelage and Breast Surgery 125
Historical Background 125
Technique 125
Fat Harvesting 125
Fat Preparation 127
Adipocyte Reinjection 127
Postoperatively 127
Discussion 127
Volume Augmentation in the Autologous Flap-Reconstructed Breast 127
Correction of Localised Deformities Following Either Implant-Based Reconstruction or Breast Conserving Therapy (ASBCT Grade 1) 128
Complete Autologous Fat Transfer for Reconstruction of the Small Breast 129
Conclusion 130
References 130
8 Prophylactic Surgery 131
9 Multidisciplinarity 133
Radiotherapy After Breast Reconstruction 133
Psycho-oncological Aspects 137
Conclusion 145
References 145
10 Prophylactic Mastectomy and BRCA1 or BRCA2 Gene Mutations 149
Prophylactic Mastectomy: Principles and Efficacy of Prevention 149
Management of Women Carrying BRCA1/2 Mutations Without Cancer 150
Diagnosis of a Breast Cancer in a Woman with BRCA1/2 Mutation 150
Discovery of BRCA1/2 Mutation After Diagnosis of Breast Cancer 151
High Family Risk Without Identified Mutation 151
Conclusion 151
References 151
Glossary 153
Index 154

Produkt-Details

• Erscheint lt. Verlag: 19.6.2009
• Zusatzinfo: XI, 150 p.
• Verlagsort: Berlin
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Onkologie
• Schlagworte: Aesthetic • BRCA • Breast Cancer • Breast Reconstruction • classification • Mammaplasty • Nipple-areolar reconstruction • Surgery • surgical oncology
• ISBN-10: 3-642-00144-0 / 3642001440
• ISBN-13: 978-3-642-00144-4 / 9783642001444