Mastectomy Home Recovery Programs Increase Same-Day Discharge Rates
No abstract available
59 yo female patient, that presented with multifocal right breast lesions in the upper-lower outer quadrants: T1 26.5*21 mm - T2 23*19mm cN0 on the initial MRI. staging Pet: N0 M0 she underwent neoadjuvant chemotherapy. MRI showed a good radiological response she had total mastectomy and LND: bifocal residual carcinoma, T1: ILC, 3.7 cm T2: IDC, grade 2 negative margins, lVSI neg, skin free, nipple free, 0/21 negative nodes with no signs of... Is PMRT needed for this patient?
Question 1 —Is this a radiation-induced malignancy?1
The long-term risk of radiation-induced malignancy in a 66-year-old woman receiving APBI is very low, likely 1% or less. Depending on treatment technique, the theoretical risk with APBI may be slightly lower than with whole breast irradiation given the lower integral dose. Although the risk of radiation-induced malignancy should be discussed, it would not be a point of emphasis in this patient, who was initially treated with a 3-dimensional conformal APBI technique in her 60s.
Conclusion: This study presents the largest prospective examination of PROs in PMR to date. Patients who opted for ABR had significantly higher satisfaction with their breast and QOL at each assessed time point, but IBR patients had stable long-term satisfaction and QOL postoperatively.
CONCLUSIONS: Nine-gauge VAB specimens can be processed within 4 hours. Slides are suitable for all routine pathologic stains. This enables a same-day diagnosis. PMID: 31415692 [PubMed - as supplied by publisher]
Publication date: Available online 13 August 2019Source: European Journal of Surgical OncologyAuthor(s): Carlos A. Garcia-Etienne, Alberta Ferrari, Angelica Della Valle, Marco Lucioni, Elisa Ferraris, Giuseppe Di Giulio, Luigi Squillace, Elisabetta Bonzano, Angioletta Lasagna, Gianpiero Rizzo, Richard Tancredi, Andrea Scotti Foglieni, Francesca Dionigi, Maurizia Grasso, Eloisa Arbustini, Giorgio Cavenaghi, Paolo Pedrazzoli, Andrea R. Filippi, Paolo Dionigi, Adele SgarellaAbstractThe surgical approach to the axilla in breast cancer has been a controversial issue for more than three decades. Data from recently published tria...
AbstractBreast cancer is the most common cancer among females worldwide, of whom more than 80% survive for more than 5 years. Hence, ensuring a good quality of life (QOL) is essential to achieve holistic approach in treating patients. A cross-sectional study was conducted to compare the QOL in women who underwent modified radical mastectomy (MRM) and breast conservation surgery (BCS) for breast cancer in the last 5 years. QOL was evaluated based on the long-term quality of life–breast cancer (LTQOL–BC) questionnaire. A greater percentage of women who underwent MRM complained of difficulty in completi...
Condition: Breast Neoplasms Interventions: Procedure: Expanded Mckissock surgery; Procedure: Modified radical mastectomy Sponsor: Shengjing Hospital Not yet recruiting
Introduction: Metaplastic breast cancer (MBC) is a rare and aggressive form of breast cancer. The present study aimed to assess the effect of postmastectomy radiotherapy (PMRT) in MBC patients with intermediate-risk (T1-2N1M0 and T3N0M0) and high-risk (T1-4N2-3M0 and T4N0-1M0) disease. Methods: The Surveillance, Epidemiology and End Results database was used to analyze patients with MBC between 2000 and 2014. Kaplan–Meier analysis, log-rank tests, and the multivariate Cox proportional model were used for statistical analysis. Results: We identified 460 patients with a median follow-up time of 31 months (range, 2&nd...
Conclusions: The results contribute to close the knowledge gap concerning the budgetary consequences due to genetic risk classification. A rising demand leads to additional costs especially due to costs for genetic analysis. The model indicates budget shifts with cost savings due to breast and ovarian cancer treatment in the scenario of rising demands. PMID: 31394049 [PubMed - as supplied by publisher]