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Download Essentials of Breast Surgery: A Volume in the Surgical by Michael S. Sabel MD PDF

By Michael S. Sabel MD

This new quantity within the Surgical Foundations sequence grants need-to-know, present info in breast surgical procedure in a very in your price range and ordinary layout. insurance encompasses every thing from anatomy and body structure, assessment of breast symptoms...to discussions of breast melanoma hazard and administration of breast melanoma, equipping you to stand any problem with self assurance. no matter if reviewing key fabric in guidance for a technique or learning for the forums, this is often a useful source in education and practice.

  • Presents assurance that encompasses anatomy and body structure, overview of breast signs, breast melanoma threat, and administration of breast melanoma to equip you to stand any problem with self belief.
  • Addresses sizzling themes together with gynecomastia, neoadjuvant remedy, administration of ductal carcinoma in situ and Paget's affliction, danger evaluation and genetic trying out, breast MRI, partial breast irradiation, microarray research, and designated therapies...providing you with a present standpoint in this quick altering field.
  • Begins each one bankruptcy with a bulleted checklist of key issues, and provides an important proof in bins, to aid facilitate overview.
  • Features considerable illustrations, pictures, and tables that make clear advanced concepts.
  • Follows a concise, logical, and constant association that makes the fabric effortless to review.
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Extra info for Essentials of Breast Surgery: A Volume in the Surgical Foundations Series, 1e

Example text

PET scan adds very little to present imaging studies of the breast, such as mammography or ultrasound. It also has not been demonstrated to be very helpful in those situations in which mammography is limited, such as the identification of multifocal disease that might preclude breast conserving surgery or in identifying lobular carcinomas. However, a promising technology is that of PET-mammography (PEM), which may prove to be a useful adjunct in the identification and staging of primary breast cancers.

There is no evidence that the use of MRI for patient selection improves local control. There is also no evidence that it decreases the reexcision rate. It thus seems possible that the use of MRI in this setting may be leading to women undergoing more extensive surgery than necessary. When staging a woman with breast cancer (see Chapter 10), the use of MRI should not be performed routinely, even in women with lobular carcinoma. A balanced discussion must be held with the woman about the potential benefits and risks of undergoing an MRI before surgery, how this information might alter the surgery, and whether this is worthwhile.

The sensitivity is not dependent upon Magnetic Resonance Imaging Technique Advances in surface coil technology and imaging sequences have allowed magnetic resonance imaging (MRI) to emerge as a method for imaging the breasts. The use of contrast attempts to overcome one of the major limitations of other breast imaging modalities (mammography, ultrasound), specifically the differentiation of benign and malignant lesion. Contrastenhanced breast MRI (CE-MRI) takes advantage Figure 2–14. Sagittal MR image demonstrates enhancing retroareolar mass with ill-defined margins and area of central hypoenhancement.

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