scholarly journals Persistent Breast Pain Among Women With Histories of Breast-conserving Surgery for Breast Cancer Compared With Women Without Histories of Breast Surgery or Cancer

2017 ◽  
Vol 33 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Sara N. Edmond ◽  
Rebecca A. Shelby ◽  
Francis J. Keefe ◽  
Hannah M. Fisher ◽  
John E. Schmidt ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Breast Pain

Breast conserving surgery and re-excision rates: A single-institution’s experience.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 181-181 ◽  
Author(s):  
Esther Dubrovsky ◽  
Jennifer Chun ◽  
Shira Schwartz ◽  
Amber Guth ◽  
Deborah M. Axelrod ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Medical Devices ◽  
World Wide ◽  
Breast Surgery ◽  
High Volume ◽  
Quality Measures ◽  
Breast Conserving Surgery ◽  
Financial Cost ◽  
Localization Technique ◽  
Additional Surgery

181 Background: Quality measures (QM) in breast surgery vary among organizations world-wide. Although the rate of breast conserving surgery is an accepted QM, the incorporation of a standard for re-excision rates (RER) remains controversial. RER clearly has an impact on cost and efficiency of care. The purpose of this study is to look at techniques that can reduce burden to the patient and the healthcare system by decreasing RER. Methods: Our institutional Breast Cancer Database was queried to identify all patients from 2010-2016 who underwent lumpectomy for Stage 0-III breast cancer by three high-volume breast surgeons. We analyzed the RER based on method of detection, localization technique, use of circumferential cavity shave margins, and use of device MarginProbe (DUNE Medical Devices). Results: Of 1420 women, the overall RER was 22% (312/1420). The RER was not decreased by addition of pre-operative MRI. Localization techniques were used for all non-palpable tumors and did not affect RER. The use of shave margins decreased RER from 28% to 17% (p<0.0001). The use of MarginProbe decreased RER from 24 to 11% (p<0.0001). Conclusions: Adjunctive use of circumferential cavity shave margins or directed margin excision with the MarginProbe during breast-conserving surgery decreased the RER to less than 20%. The burden of each additional surgery in financial cost, missed work, child care, and transportation can be significant. Rate of re-operation in Breast Surgery should be considered strongly within the quality efforts of any institution. [Table: see text]

Breast surgery

2021 ◽  
pp. 311-326
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Medical Treatment ◽  
Breast Cancer Screening ◽  
Breast Surgery ◽  
Punch Biopsy ◽  
Breast Pain ◽  
Breast Lump ◽  
Triple Assessment

This chapter outlines the surgical and medical treatment of breast cancer in females and males, breast cancer screening, benign breast conditions, breast pain and gynaecomastia. It describes the assessment of a breast lump with triple assessment and also how to perform a punch biopsy.

scholarly journals Intraoperative Boost Radiotherapy during Targeted Oncoplastic Breast Surgery: Overview and Single Center Experiences

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Wolfram Malter ◽  
Verena Kirn ◽  
Lisa Richters ◽  
Claudius Fridrich ◽  
Birgid Markiefka ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Local Recurrence ◽  
Early Breast Cancer ◽  
Breast Surgery ◽  
Intraoperative Radiotherapy ◽  
Local Therapy ◽  
Breast Conserving Surgery ◽  
Resection Margins ◽  
X Rays ◽  
Oncoplastic Breast Surgery

Breast-conserving surgery followed by whole-breast irradiation is the standard local therapy for early breast cancer. The international discussion of reduced importance of wider tumor-free resection margins than “tumor not touching ink” leads to the development of five principles in targeted oncoplastic breast surgery. IORT improves local recurrence risk and diminishes toxicity since there is less irradiation of healthy tissue. Intraoperative radiotherapy (IORT) can be delivered in two settings: an IORT boost followed by a conventional regimen of external beam radiotherapy or a single IORT dose. The data from TARGIT-A and ELIOT reinforce the conviction that intraoperative radiotherapy during breast-conserving surgery is a reliable alternative to conventional postoperative fractionated irradiation, but only in a carefully selected population at low risk of local recurrence. We describe our experiences with IORT boost (50 kV energy X-rays; 20 Gy) in combination with targeted oncoplastic breast surgery in a routine clinical setting. Our experiences demonstrate the applicability and reliability of combining IORT boost with targeted oncoplastic breast surgery in breast-conserving therapy of early breast cancer.

scholarly journals The impact of mastectomy on body image and sexuality in women with breast cancer: a systematic review

2021 ◽  
Vol 18 (1) ◽  
pp. 91-115
Author(s):  
Bárbara Martins Faria ◽  
Isabela Martins Rodrigues ◽  
Leticia Verri Marquez ◽  
Uriel Da Silva Pires ◽  
Stefan Vilges de Oliveira
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Text Analysis ◽  
Sexual Functioning ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Therapeutic Choice ◽  
The Impact

Objective: The study aims to evaluate the impact of mastectomy on body image and sexuality of women with breast cancer, as well as to provide a general understanding of their quality of life. Method: This review followed the PRISMA guidelines. The expression “Mastectomy AND (sexuality OR “body image”)” was searched in Lilacs, Scielo, Pubmed and Scopus databases. Articles published in English, Portuguese and Spanish between 2010 and 2020 were selected. The text analysis was carried out by peers. Results: 69.3% (43) of the studies presented mastectomy as a technique that worsens body image, sexual functioning and quality of life of women. Less radical procedures, such as breast-conserving surgery, showed lower impact on these indicators. Breast reconstruction is an alternative to mitigate breast surgery impacts. Conclusion: Mastectomy caused the major impacts on body image, sexual functioning and quality of life. These implications need to be considered during therapeutic choice.

scholarly journals Patients' Perspective on Day Case Breast Surgery

Breast Care ◽  
2015 ◽  
Vol 10 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Ruvinder Athwal ◽  
Mahmood Dakka ◽  
Donna Appleton ◽  
Simon Harries ◽  
Dayalan Clarke ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Axillary Node ◽  
Day Case ◽  
Overnight Stay ◽  
Axillary Node Clearance ◽  
Patients Perspective ◽  
Structured Questionnaire

Background: This study assessed the views of patients undergoing breast surgery for breast cancer with a planned overnight stay, asking whether they would be happy to be discharged home on the same day of surgery. Methods: A structured questionnaire sent out in the 6 weeks following surgery was used to ascertain the patients' views. Results: The majority of patients undergoing mastectomy and axillary node clearance preferred an overnight stay, primarily for psychological reasons. Conclusions: Patients undergoing breast-conserving surgery were more prepared to go home on the day of surgery.

scholarly journals A Multidisciplinary Preoperative Teaching Session for Women Awaiting Breast Cancer Surgery: A Quality Improvement Initiative

2018 ◽  
Vol 7 ◽  
pp. 117957271879093
Author(s):  
Marize Ibrahim ◽  
Garnet J Lau ◽  
Nadia Smirnow ◽  
Anna T Buono ◽  
Andrea Cooke ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Improvement ◽  
Postoperative Complications ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Breast Cancer Surgery ◽  
Cancer Center ◽  
Quality Improvement Initiative ◽  
Teaching Session ◽  
Additional Time

Purpose: Most of the breast cancer diagnoses are recommended for breast surgery. Unfortunately, many patients report preoperative anxiety, which can affect postoperative recovery. Preoperative teaching sessions have been shown to reduce anxiety and improve recovery for the patients with breast cancer. To better support the patients at our cancer center, a multidisciplinary preoperative teaching session was developed and delivered as a quality improvement initiative. Methods: Participants scheduled for breast surgery were invited to attend a group-delivered preoperative teaching session, either for breast-conserving surgery or mastectomy. The sessions were presented by a nurse, occupational therapist, and physiotherapist. Data were collected through a researcher-developed 2-item questionnaire administered before and after sessions to compare self-reported anxiety and knowledge levels, along with qualitative feedback. Results: A total of 94 participants attended the preoperative sessions, piloted over a year. The majority were scheduled for breast-conserving surgery. Wilcoxon signed rank tests showed that after session, self-reported levels of anxiety decreased, whereas levels of knowledge increased. Most participants found the session to be very helpful and would recommend it to other patients/families awaiting surgery. Conclusions: Patients awaiting surgery for breast cancer may be better supported through a multidisciplinary group teaching session by decreasing anxiety and improving knowledge related to the procedure. Future directions could explore the effect of specific session elements on anxiety, knowledge, and postoperative complications using psychometrically sound instruments and additional time points. Implications for cancer survivors: Standardization of these preoperative teaching sessions may enhance breast cancer care, reduce postoperative complications, and improve patient recovery.

Factors affecting type of surgical treatment in patients with breast cancer

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20633-e20633
Author(s):  
M. Garip ◽  
M. Gumus ◽  
F. Dane ◽  
M. Seker ◽  
A. Bilici ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgery ◽  
Radical Mastectomy ◽  
Breast Conserving Surgery ◽  
Clinicopathological Characteristics ◽  
Age At First Birth ◽  
Breast Cancer Patients ◽  
Factors Affecting ◽  
Nulliparous Women ◽  
Type Of Surgery

e20633 Background: Many prospective randomized studies have shown that modified radical mastectomy (MRM) and breast conserving surgery (BCS) are equivalent in terms of overall survival. Patients’ social and cultural features and clinicopathological characteristics of the tumors generally influence the decision of selecting surgical type. Here, we aimed to evaluate the variables that affect the type of surgical resection in our patients’ population. Methods: One hundred patients undergone breast surgery with the diagnosis of breast cancer from December 2007 to March 2008 were included in the study. After detailed history taking and physical examination, all patients were given questionnaire evaluating sociodemographical data and parameters influencing their decision in choosing type of breast surgery. Results: Overall, 100 patients (80 MRM, 20 BCS) were evaluated in this study. Age was statistically significant predictive indicator in choosing BCS (p: 0.025). Nulliparous women were more likely to select BCS than multiparous (p:0,004). Patients who have the experience of breastfeeding less likely preferred BCS (p: 0.007). Having taken second opinion from a different breast surgeon about type of surgery during evaluation made patients select more BCS (p: 0.023). Although not statistically significant patients who had family history of breast cancer had selected MRM more than BCS (p: 0.088). Marital status, life assurance, age at first birth, and education status were not associated with the decision of selecting type of surgery. Conclusions: We concluded that cosmetic concern and risk of relapse affect the decision of surgical type in breast cancer patients. Broader efforts should be made to inform our patients about the results of BCS. No significant financial relationships to disclose.

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