Special Considerations in Patients with Early-Stage Breast Cancer and Survivors
Multidisciplinary care is the standard for the treatment of breast cancer. Even among women with early-stage breast cancer, the multiple subtypes and various treatment pathways involve coordination of care plans among multiple providers. Nuances exist in defining treatment strategies for specific subtypes of cancer and for different subsets of breast cancer. With improvement in breast cancer mortality, more women are surviving longer but have increased risks of treatment-related long-term effects that negatively impact the quality of life. Knowledge of the many facets of breast cancer treatment and survivorship is critical...
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Jessica F. Partin Source Type: research

Breast Cancer Survivorship —Mitigating Treatment Effects on Quality of Life and Improving Survival
Cancer survivorship is complex and varies by individual, disease type, geographic area, and socioeconomic resources. As cancer treatments and survival improves, the survivorship population continues to grow. Communication between oncologists, patients, health care providers, patient advocates, and other stakeholders is critical to improved outcomes in cancer survivors. Important areas of study relate to improving the quality of life in survivors and include health promotion, psychosocial distress, and financial toxicity of cancer treatment. As survivorship begins at diagnosis, cancer programs must incorporate survivorship ...
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Hannah W. Hazard-Jenkins Source Type: research

Breast Cancer Risk Assessment and Management of the High-Risk Patient
Breast cancer is the most commonly diagnosed nonskin cancer in women. To decrease the breast cancer burden, conserve resources, and decrease unnecessary treatments, guidelines suggest interventions be reserved for those women at greatest risk for disease. Risk assessment incorporating breast cancer risk factors and risk assessment models is of paramount importance in identifying women who have the greatest benefit from risk reduction strategies. Principles of shared decision-making should guide practitioners to incorporate patients ’ values, goals, and objectives in decisions around genetic testing, pharmacologic interve...
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Victoria L. Green Source Type: research

Disparities in Breast Cancer
In the western world, breast cancer is the most common lethal cancer in women and the second leading cause of cancer death behind lung cancer. When assessing registry data, incidence and mortalty vary significantly by race or ethnicity and by socioeconomic status. There are a number of established risk factors, that effect risk of not just risk of breast cancer overall but the risk of certain molecular subtypes of breast cancer. Other factors in the disparity in outcomes include certain populations experiencing lower quality of care; prevention, screening, diagnosis and treatment. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Victoria F. Grabinski, Otis W. Brawley Source Type: research

Multidisciplinary Management of Breast Cancer and Role of the Patient Navigator
Modern breast cancer treatment is multidisciplinary. Comprehensive breast centers are uniquely positioned to treat patients in a multidisciplinary fashion, providing timely diagnoses, state-of-the-art treatment options, and survivorship care. Important ancillary services can improve patients' emotional, financial, physical, and sexual distress. Patient navigators are the link between these provided services and the patient. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Andrew Fenton, Nicki Downes, Amanda Mendiola, Amy Cordova, Kathy Lukity, Julie Imani Source Type: research

A Top Health Concern of Most Women
This quarterly issue of Obstetrics and Gynecology Clinics of North America, edited by Patrice Weiss, MD and Jessica Partin, MS, MD, deals with the “Management of Benign and Malignant Breast Disease.” This topic is particularly relevant, since most women identify breast cancer as one of their top health concerns. Breast cancer is the most frequent type of non–skin cancer and the most common cause of cancer death in women worldwide. Both e arlier detection through screening and improvements in treatment are responsible for this reduction in breast cancer mortality since the 1970s. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research

Challenges in the Management of Breast Disease
The topic of breast health and breast disease impacts most health care providers, both professionally and personally, through patients, family members, friends, or colleagues. When reflecting on health and wellness, most women identify breast cancer as one of the top concerns. Breast cancer is the most common cancer diagnosed in American women and as of 2021 became the most common cancer globally, and it is the second leading cause of cancer deaths in women. Obstetrician-gynecologists are key providers in breast health maintenance, education, and breast cancer screening. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Jessica F. Partin, Patrice M. Weiss Tags: Preface Source Type: research

Management of Benign and Malignant Breast Disease
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Authors: Jessica F. Partin, Patrice M. Weiss Source Type: research

Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Source Type: research

Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Source Type: research

Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Source Type: research

Forthcoming Issues
Minimally Invasive Gynecologic Surgery (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 13, 2022 Category: OBGYN Source Type: research

The Current and Future States of Screening in Gynecologic Cancers
This article provides a comprehensive review of current screening guidelines and novel techniques that have promise in the prevention and early detection of gynecologic cancers in the future. The authors anticipate a move toward less invasive testing modalities, use of cancer biomarkers, and the prevention and treatment of high-risk factors such as human papilloma virus infection and obesity. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Jessica Lee, Navya Nair Source Type: research

Subspecialization in Obstetrics and Gynecology
The growth in the number of obstetrics and gynecology resident graduates pursuing fellowships has exceeded growth in the number of resident graduates, because more fellowship programs are being developed in more subspecialties rather than additional residency programs. Approximately 1 in 4 residents pursues subspecialty training, compared with 1 in 12 in 2001. The number of fellowships remains competitive, because nearly all programs fill their match and the number of applicants exceeds the number of positions. Graduating residents who serve as frontline women ’s health specialists need to serve as leaders of interprofes...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: William F. Rayburn, Imam M. Xierali Source Type: research

The Future of Fetal Surgery
The field of fetal medicine has evolved significantly over the past several decades. Our ability to identify and treat the unborn patient has been shaped by advancements in imaging technology, genetic diagnosis, an improved understanding of fetal physiology, and the development and optimization of in utero surgical techniques. The future of the field will be shaped by medical innovators pushing for the continued refinement of minimally invasive surgical technique, the application of pioneering technologies such as robotic surgery and in utero stem cell and gene therapies, and the development of innovative ex utero fetal su...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Eric Bergh, Cara Buskmiller, Anthony Johnson Source Type: research