Breast Surgical Techniques and Interdisciplinary Management

Front Matter....Pages i-xxix
Front Matter....Pages 1-1
Professionalism in the Approach to the Patient....Pages 3-10
The Clinical Breast Cancer Team....Pages 11-16
The Role of the Specialist Breast Nurse....Pages 17-26
Social Work and Breast Cancer Care....Pages 27-33
Reducing Medical Malpractice Risk in Breast Cancer Care: A Surgical Perspective....Pages 35-42
Career Development for Breast Surgical Oncology....Pages 43-55
Successful Management of a Breast Surgery Practice....Pages 55-61
Front Matter....Pages 63-63
Normal Morphology, Physiological Changes, and Benign Breast Disease....Pages 65-81
The Biology of Breast Cancer....Pages 83-96
Front Matter....Pages 97-97
Obtaining a History and Performing the Clinical Breast Examination....Pages 99-108
Primer on Ultrasound for the Breast Surgeon....Pages 109-120
The Complete Radiology Workup....Pages 121-132
Front Matter....Pages 133-133
Identification and Management of Women at High Familial Risk for Breast Cancer....Pages 135-145
Clinical Management of Breast Pain....Pages 147-153
Breast Mass....Pages 155-160
Breast Infection....Pages 161-177
The Evaluation and Treatment of Nipple Discharge....Pages 179-186
Gynecomastia....Pages 187-196
The Effects of Menopausal Hormone Therapy on Breast Cancer: Evidence from the Women’s Health Initiative Randomized Placebo-Controlled Trials....Pages 197-207
Front Matter....Pages 209-209
Office-Based Diagnostic Procedures....Pages 211-222
Front Matter....Pages 209-209
Image-Guided Breast Biopsy....Pages 223-240
Breast Biopsy Techniques....Pages 241-252
Mammary Ductoscopy....Pages 253-259
Front Matter....Pages 261-261
Assessment of Extent of Disease in Primary Breast Cancer....Pages 263-268
Breast Cancer Staging: Predicting Outcome and Response to Treatment....Pages 269-285
Breast Cancer Treatment Guidelines....Pages 287-294
Introduction to Gene Expression Profiling in Breast Cancer....Pages 295-314
Clinical Trial Overview and Enrollment....Pages 315-326
Psychiatric and Psychological Issues....Pages 327-335
Fertility Issues for Newly Diagnosed Women Interested in Child Bearing: Strategies and Options....Pages 337-345
Front Matter....Pages 347-347
Regional Anesthesia for Breast Surgery....Pages 349-371
Lumpectomy....Pages 373-380
Oncoplastic Techniques for Breast Conservation Surgery....Pages 381-390
Ablative Therapies....Pages 391-407
Mastectomy....Pages 409-422
Nipple and Areola-Sparing Mastectomy....Pages 423-430
Integration of Neoadjuvant Systemic Therapy into Surgical Practice....Pages 431-441
Oncologic Breast Reconstruction: Principles and Practice....Pages 443-468
Front Matter....Pages 469-469
Sentinel Lymph Node Biopsy: An Overview....Pages 471-480
Sentinel Lymph Node Biopsy Radiotracer Technique at Memorial Sloan-Kettering Cancer Center....Pages 481-488
Front Matter....Pages 469-469
Sentinel Node Biopsy Using Lymphazurin....Pages 489-494
The Use of Methylene Blue as a Tracer Agent in Sentinel Lymph Node Biopsy....Pages 495-503
Axillary Lymph Node Dissection....Pages 505-517
Front Matter....Pages 519-519
Evaluation and Management of Women Presenting with Breast Symptoms During Pregnancy....Pages 521-532
Paget’s Disease of the Breast....Pages 533-543
Male Breast Cancer....Pages 545-554
Breast Sarcomas....Pages 555-579
Axillary Metastases with Unknown Primary....Pages 581-585
Front Matter....Pages 587-587
Breast Cytology....Pages 589-599
The Breast Pathology Report....Pages 601-611
Risk Lesions of the Breast: Usual Ductal Hyperplasia, Atypical Ductal Hyperplasia, Lobular Neoplasia, and the Spectrum of Columnar Cell Alterations....Pages 613-622
Duct Carcinoma In Situ: A Gordian Knot Untied....Pages 623-631
Pathology: Invasive Carcinoma....Pages 633-643
Interpreting Breast Pathology in the Setting of Neoadjuvant Chemotherapy....Pages 645-658
Pathology of Sentinel Lymph Nodes and Axillary Nodes....Pages 659-670
Selected Fibroepithelial, Mesenchymal, and Hematolymphoid Tumors of the Breast....Pages 671-696
Banking Tissue Specimens for Research....Pages 697-703
Front Matter....Pages 705-705
Basic Principles of Antineoplastic Therapies....Pages 707-715
Neoadjuvant Endocrine Therapy in the Treatment of Early-Stage Breast Cancer....Pages 717-729
Neoadjuvant Systemic Therapy for Breast Cancer....Pages 731-739
Front Matter....Pages 705-705
Adjuvant Systemic Therapy....Pages 741-753
Adjuvant Endocrine Therapy....Pages 755-764
Systemic Treatment During Pregnancy....Pages 765-775
Breast Cancer in the Elderly....Pages 777-785
Complementary and Alternative Medicine in Breast Cancer....Pages 787-796
Front Matter....Pages 797-797
Basic Principles of Radiobiology....Pages 799-811
Whole Breast Radiotherapy....Pages 813-827
Accelerated, Partial Breast Irradiation Overview....Pages 829-836
PBI: Brachytherapy Techniques....Pages 837-866
Accelerated Partial Breast Irradiation: Balloon Catheter Brachytherapy....Pages 867-874
APBI 3D Conformal External Beam: The NYU Technique....Pages 875-881
Accelerated, Partial Breast Irradiation with Intraoperative Radiotherapy....Pages 883-897
Postmastectomy Radiation Therapy....Pages 899-905
Regional Nodal Radiation as an Alternative to Surgery....Pages 907-916
Controversial Indications for Breast Conserving Therapy and Radiation....Pages 917-926
Front Matter....Pages 927-927
Survivorship....Pages 929-936
Follow-Up Strategies After Breast Cancer Treatment....Pages 937-943
Pregnancy After Breast Cancer....Pages 945-951
The Potential of the Electronic Health Record in the Breast Center....Pages 953-960
Clinical Breast Examination After Treatment of Breast Cancer....Pages 961-973
Front Matter....Pages 927-927
Breast Imaging Following Breast Conservation Therapy....Pages 975-995
Detection and Management of Ipsilateral Breast Cancer Recurrence....Pages 997-1006
Lumpectomy or Mastectomy in Patients Presenting with Metastatic Disease....Pages 1007-1014
Managing Breast Cancer-Associated Lymphedema....Pages 1015-1027
Chronic Pain After Surgery for Breast Cancer....Pages 1029-1037
Systemic Treatment of Metastatic Breast Cancer....Pages 1039-1044
Back Matter....Pages 1045-1069