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Breast Surgical Techniques and Interdisciplinary Management de Frederick Dirbas

Breast Surgical Techniques and Interdisciplinary Management

Editat de Frederick Dirbas, Carol Scott-Conner
en Limba Engleză Hardback – 7 feb 2011

Actualizarea ghidurilor în managementul patologiei mamare reflectă o tranziție clară către o abordare interdisciplinară, unde biologia cancerului dictează precizia actului chirurgical. Observăm în Breast Surgical Techniques and Interdisciplinary Management o adaptare riguroasă la noile realități clinice, cum ar fi schimbarea paradigmei în managementul chirurgical al nodulilor axilari și rolul tot mai pregnant al radioterapiei care, în anumite scenarii, poate înlocui intervenția clasică.

Merită menționat că structura acestui tratat, publicat de Springer, este deliberat concepută pentru a fi „problem-based”. Spre deosebire de alte manuale unde informația este dispersată tematic, aici găsim o organizare ce permite chirurgului să extragă rapid concepte cheie pentru situații clinice specifice, de la evaluarea în timpul sarcinii până la tehnici de biopsie percutanată. Acolo unde Breast Cancer Management for Surgeons de Lynda Wyld oferă o privire de ansamblu asupra tehnicilor oncoplastice și radioterapiei externe, volumul editat de Frederick Dirbas și Carol Scott-Conner aprofundează variabilele genetice prin secvențierea de generație viitoare și impactul celulelor stem în terapia personalizată.

Cuprinsul progresează logic de la fundamentele profesionalismului și îngrijirii multidisciplinare, către proceduri de diagnostic la cabinet (ecografie, ductoscopie) și tehnici chirurgicale avansate. Un element distinctiv este includerea îngrijirii psihosociale și paliative, elemente recunoscute acum ca fiind esențiale în parcursul terapeutic al pacientului. Este o resursă clinică masivă, de 1100 de pagini, care transformă complexitatea biologiei moleculare în decizii chirurgicale concrete.

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Specificații

ISBN-13: 9781441960757
ISBN-10: 1441960759
Pagini: 1100
Ilustrații: XXIX, 1069 p. 420 illus., 270 illus. in color.
Dimensiuni: 160 x 241 x 48 mm
Greutate: 1.99 kg
Ediția:2011
Editura: Springer
Locul publicării:New York, NY, United States

Public țintă

Professional/practitioner

De ce să citești această carte

Această lucrare este esențială pentru chirurgii care doresc să integreze progresele geneticii și radioterapiei moderne în practica lor cotidiană. Cititorul câștigă o metodă rapidă de consultare bazată pe probleme clinice reale, economisind timp în documentare. Este recomandată atât rezidenților, cât și specialiștilor care au nevoie de o actualizare a tehnicilor de management axilar și diagnostic imagistic integrat direct în cabinetul chirurgical.

Despre autor

Frederick Dirbas și Carol Scott-Conner sunt figuri proeminente în chirurgia oncologică modernă. Frederick Dirbas este recunoscut pentru expertiza sa în managementul multidisciplinar al cancerului mamar, fiind implicat activ în cercetarea clinică la instituții de prestigiu. Carol Scott-Conner este o autoritate în domeniul tehnicilor chirurgicale, fiind autoarea mai multor tratate de referință care pun accent pe anatomie și precizie procedurală. Împreună, cei doi editori au reușit să sintetizeze în această ediție de la Springer o viziune care îmbină rigoarea tehnică cu înțelegerea profundă a biologiei moleculare.

Descriere scurtă

This comprehensive manual on breast disease deals with all aspects of the surgical management of both benign and malignant disease. The chapters are written by leading experts, clearly illustrated with line drawings, clinical photos and diagnostic radiology images. Breast Surgery is divided into sections following the patterns of patient management from diagnosis through treatment and reconstruction. Part One, "Fundamentals", addresses common aspects of working with breast cancer patients and understanding the members of the breast cancer team. Part Two is an overview of "Biologic Principles". Parts Three, Four, and Five review "The Initial Evaluation", "Common Presenting Problems", and "Diagnostic Techniques". Part Six, an overview of breast cancer treatment, includes chapters on "Breast Cancer Staging", "Introduction to Gene Expression Profiling",  and "Psychological Issues". Part's Seven through Twelve deal with important aspects of breast surgery and interdisciplinary care including pathology, medical oncology, and radiation oncology, with several chapters on neoadjuvant therapy and partial breast irradiation. Part Thirteen includes many chapters on followup of the breast cancer survivor, including late changes on physical exam and imaging, local recurrence, and treating metastatic disease.  Though not intended to replace a text reference, Breast Surgical Disease and Interdisciplinary Management offers a comprehensive guide to provide practical advice for those seeking concise, expert input that can be quickly accessed on multiple topics associated with the care of the breast cancer patient.

Cuprins

Foreword.- Section One-Fundamentals.- Professionalism in the Approach to the Patient.- The Clinical Breast Cancer Team.- The Role of the Specialist Breast Nurse.- Social Work and Breast Cancer Care.- Reducing Medical Malpractice Risk in Breast Cancer Care: A Surgical Perspective.- Career Development for Breast Surgical Oncology.- Successful Management of a Breast Surgery Practice.- Section Two-Biologic Principles.- Normal Morphology, Physiological Changes, and Benign Breast Disease.- The Biology of Breast Cancer.- Section Three-Initial Evaluation of the Patient.- Obtaining a History and Performing the Clinical Breast Examination.- Primer on Ultrasound for the Breast Surgeon.- The Complete Radiology Workup.- Section Four-Common Presenting Complaints and Concerns.- Identification and Management of Women at High Familial Risk for Breast Cancer.- Clinical Management of Breast Pain.- Breast Mass.- Breast Infection.- The Evaluation and Treatment of Nipple Discharge.- Gynecomastia.- The Effects of Menopausal Hormone Therapy on Breast Cancer: Evidence from the Women’s Health Initiative Randomized Placebo-Controlled Trials.- Section Five-Diagnostic Techniques.- Office Diagnostic Procedures.- Image-Guided Breast Biopsy.- Breast Biopsy Techniques.- Mammary Ductoscopy.- Section Six - Breast Cancer Overview.- Assessment Of Extent Of Disease In Primary Breast Cancer.- Breast Cancer Staging: Predicting Outcome and Response to Treatment.- Breast Cancer Treatment Guidelines.- Introduction to Gene Expression Profiling in Breast Cancer.- Clinical Trial Overview and Enrollment.- Psychiatric and Psychological Issues.- Fertility Issues for Newly Diagnosed Women Interested in Child Bearing – Strategies and Options.- Section Seven - Breast Surgery – Management of the Primary Tumor.- Regional Anesthesia for Breast Surgery.- Lumpectomy.- Oncoplastic Techniques for Breast Conservation Surgery.- Ablative Techniques.- Mastectomy.- Nipple and Areola-Sparing Mastectomy.- Integration ofNeoadjuvant Systemic Therapy Into Surgical Practice.- Oncologic Breast Reconstruction: Principles and Practice.- Section Eight - Breast Surgery – Sentinel Node Biopsy and Axillary Dissection.- Sentinel Lymph Node Biopsy—an Overview.- Sentinel Lymph Node Biopsy: Radiotracer Technique at Memorial Sloan-Kettering Cancer Center.- Sentinel Node Biopsy Using Lymphazurin.- The Use of Methylene Blue as a Tracer Agent in Sentinel Lymph Node Biopsy.- Axillary Lymph Node Dissection.- Section Nine - Breast Surgery – Special Issues.- Evaluation and Management of Women Presenting with Breast Symptoms During Pregnancy.- Paget’s Disease Of The Breast.- Male Breast Cancer.- Breast Sarcomas.- Axillary Metastases with Unknown Primary.- Section Ten - Cytology and Pathology.- Breast Cytology.- The Breast Pathology Report.- Risk Lesions of the Breast: Usual Ductal Hyperplasia, Atypical Ductal Hyperplasia, Lobular Neoplasia, and the Spectrum of Columnar Cell Alterations.- Duct Carcinoma In Situ – a Gordian Knot Untied.- Pathology: Invasive Carcinoma.- Interpreting Breast Pathology in the Setting of Neoadjuvant Chemotherapy.- Pathology of Sentinel Lymph Nodes and Axillary Nodes.- Selected Fibroepithelial, Mesenchymal and Hematolymphoid Tumors of the Breast.- Banking tissue specimens for research.- Section Eleven - Systemic Therapy for Breast Cancer.- Basic Principles of Anti-Neoplastic Therapies.- Neoadjuvant Endocrine Therapy in the Treatment of Early-Stage Breast Cancer.- Neoadjuvant Systemic Therapy For Breast Cancer.- Adjuvant Systemic Therapy.- Adjuvant Endocrine Therapy.- Systemic Treatment During Pregnancy.- Breast Cancer in the Elderly.- Complementary and Alternative Medicine in Breast Cancer.- Section Twelve - Radiation Therapy of the Breast.- Basic Principles Of Radiobiology.- Whole Breast Radiotherapy.- Accelerated, Partial Breast Irradiation Overview.- PBI: Brachytherapy Techniques.- Accelerated Partial Breast Irradiation: Balloon Catheter Brachytherapy.- APBI 3DConformal External Beam - The NYU Technique.- Accelerated, Partial Breast Irradiation with Intraoperative Radiotherapy.- Post-Mastectomy Radiation Therapy.- Regional Nodal Radiation as an Alternative to Surgery.- Controversial Indications For Breast Conserving Therapy And Radiation.- Section Thirteen - The Breast Cancer Survivor.- Survivorship.- Follow-up Strategies After Breast Cancer Treatment.- Pregnancy After Breast Cancer.- The Potential of the Electronic Health Record in the Breast Center.- Clinical Breast Examination After Treatment of Breast Cancer.- Breast Imaging Following Breast Conservation Therapy.- Detection and Management of Ipsilateral Breast Cancer Recurrence.- Lumpectomy or Mastectomy in Patients Presenting with Metastatic Disease.- Managing Breast Cancer- Associated Lymphedema.- Chronic Pain After Surgery for Breast Cancer.- Systemic Treatment Of Metastatic Breast Cancer

Notă biografică

Frederick M. Dirbas, M.D. Associate Professor of Surgery Breast Disease Management Group Leader Clinical Care Sub-Team Division of Surgical Oncology Department of Surgery Stanford University School of Medicine, Stanford Cancer Center 875 Blake Wilbur Drive, CC2235 Stanford, CA 94025, USA Carol E. H. Scott-Conner, M.D., Ph.D. Department of Surgery University of Iowa Hospitals and Clinic 200 Hawkins Drive, 1516 JCP Iowa City, IA 52242-1086, USA

Caracteristici

Each chapter provides a focused clinical outline of in-office and OR-based treatment procedures for breast surgeons A broad overview of Breast Surgical Techniques and Interdisciplinary Management written by leaders in the field Each section provides an in-depth look at new and innovative procedures in breast surgical oncology as well as office management