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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 Mixed media product – 15 iun 2025

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: 9783319073453
ISBN-10: 3319073451
Dimensiuni: 155 x 235 mm
Ediția:2nd ed. 2025
Editura: Springer
Colecția Springer
Locul publicării:Cham, Switzerland

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

Breast Cancer care is progressing at a rapid pace and with an increasing requirement for interdisciplinary collaboration, highly nuanced cross-discipline expertise and required understanding of advances in breast cancer biology. The first edition of Breast Surgical Techniques and Interdisciplinary Management introduced a text of considerable breadth and depth. This second edition updates general areas but also more fully addresses the accelerating nuances in care. While other texts continue to force the reader to "dig" for relevant information that is often dispersed across several chapters, the editors have retained the content delivery in a focused fashion that enable the reader to quickly grasp the key concepts that is problem-based. The obvious benefit to the reader is the ability to take away actionable information in much shorter time period and with a much higher retention rate. This makes the text of considerable value for those who require "must have" knowledge in as short a time period as possible. This text continues to deliver content that is easily readable with key points absorbed clearly and rapidly. The new chapters most importantly add topics that are of essential importance to the breast cancer specialist, including our "new world" and highly important method of evaluating physician performance; breast cancer stem cells as a unifying concept for breast cancer care and therapy; next-gen sequencing to more clearly understand the specific genetic and other biologic variables that will likely impact care for individual patients; the changing surgical management of axillary nodes; more nuanced information regarding targeted systemic therapies; evolving roles of accelerated forms of radiation as well as areas where radiotherapy is potentially replacing surgery; the increasing importance of psychosocial care and palliative care, both as the "right" thing to do as a an overall movement in general cancer care. There is no other text
available which brings this material together in such an accessible fashion to the student, resident, fellow, clinician in the early stages of their career or to those who are "re-tooling" the focus of their career. Even seasoned clinicians will find "pearls" in the text in areas outside their particular expertise.

Cuprins

Professionalism.- Multidisiciplinary Care.- Team Members and Roles.- Hx and CBE: Likely benign vs likely malignant findings.- Documentation and Legal Issues.- Practice Management.- Patient Satisfaction Scoring Systems.- Career Development for Breast Surgery.- Breast Pain.- Gynecomastia.- Nipple Discharge.- Breast Infections.- Breast Mass.- Axillary Mets w/o Primary.- Eval during Preg.- Incorporating the Family History into the Workup.- Hormonal Therapy and Breast Cancer Risk.- Office Based Diagnostic Procedures.- Breast Ultrasound in the Surgeons Office as an Adjunct to the Clinical Exam, Diagnostic Procedures, and Therepeutic Excisions.- Ductoscopy.- Breast Cytology.- Evolving Role of Mammography, US.- Breast MRI.- Focus on Imaging of the Axilla for Pathologic Nodes.- Special Considerations for Breast Imaging following Augmentation or Breast Reconstruction.- Image Guided Breast Biopsy of the Breast and Regional Nodes: FNA vs Core, Marker vs No Marker.- Technical Considerations in Percutaneous biopsy for Metastatic Disease.- Future Possibilities for Functional Imaging of Breast Cancer.- Imaging for Metastatic Disease: Bone scans, CT scans, and PET/CT.- Breast Imaging, Navigating Complex CBE and Multiple Imaging Abnormalities.- Biology of Br CA - Overview.- Benign Histology (including current recs for "borderline lesions", PASH, and radial scar).- Gene Expression Profiling of Breast Cancer.- Subtypes of Triple Negative (ER/PR/Her2) Breast Cancer.- Lessons from Next-Gen Sequencing in Breast Cancer.- Heterogeneity of the Primary Breast Tumor and Metastatic Disease.- Breast Cancer Stem Cells: A Unifying Theory.- How Important is Timing the Initiation of Breast Cancer Care.- Assessing Extent of Disease in Primary Breast Cancer.- Fertility Issues.- AJCC Staging.- Breast Cancer Treatment Guidelines.- Clinical Trial Overview, Cooperative Groups, and the Importance of Clincial Trial Enrollment.- iSPY and iSPY 2: a Novem Mechanism for Clinical Trial Design.- Assessing Patient Distress.- Supportive Care.- Psychiatric and Psychologic Issues, Introducing the Concept of Palliative Care.- Anesthesia Issues.- Incisional, Excisional, and Wire Localized Breast Biopsy.- Lumpectomy.- Is There Emerging Consensus on What Constitutes and Adequate Surgical Margin?.- Intraoperative Techniques for Assessing Tumor-Free Margins.- Oncoplastic Techniques After Lumpectomy.- Ablative Techniques.- Total (Simple) and Modified Radical Mastectomy.- Nipple/areolar preservation.- Plastic and Reconstructive Surgery.- Surgical Considerations in the Very Young Breast Cancer Patient: Surgical Considerations During Pregnancy.- When Should Patients Consider Neoadjuvant Systemic Therapy Prior to Lumpectomy or Mastectomy?.- Special Surgical Situations: Paget's Disease.- Special Surgical Situations: Male breast cancer.- Special Surgical Situations: Sarcoma.- Working with Tissue Bank.- Lumpectomy or Mastectomy in the Setting of Metastatic Disease.- Sentinel Node Bx - overview and techniques (Radiotracer, Lymphazurin, Methyelene Blue).- Is There a Role for Sentinel Node Biopsy Alone?.- Is Axillary Radiotherapy a Substitute for Completion Axillary Node Dissection?.- Is there a role for Sentinel Node Biopsy after Neoadjuvant Therapy in Patients with Clinical Resolution of Involved Axillary Nodes?.- Surgical Technique for a Level I/II Axillary Node Dissection.- Reverse Axillary Mapping to Avoid Lymphedema.- Components of Breast Path Report.- Path: Risk Markers.- Path: DCIS.- Path: Invasive carcinoma.- Path: Challenges in Consistency for ER/PR/Her2/Ki67 Test Results and implications for Care.- Path: Post neoadjuvant chemotherapy.- Path: Pathology of the Sentinel Node and Axillary Nodes.- Path: Breast Sarcoma.- Basic Principles of Systemic Therapy.- Neoadj Hormonal Tx.- Neoadj Chemo/Targeted Tx.- Conventional Adjuv Chemo Tx.- Targeted Therapies for Her2 positive tumors.- Targeted Therpaies for ER/PR/Her2 negative breast cancer.- Adju Hormon Tx for Endocrine Sensitive Breast Cancer.- Special Situations: Systemic Therapy During Pregnancy.- Special Situations: Breast Cancer in the Elderly.- Alternative Therapies (CAM).- Bisphonphonates as an Adjunct to Breast Cancer Care.- Prin Radiobiology.- APBI Overview.- Brachytherapy Technique.- MammoSite Technique.- 3D Conformal Technique.- Single Fraction Breast IORT.- Breast IORT as the Boost Dose.- Conventional Post Lump WB XRT.- Current Role of Hypofractionated WB-XRT.- What are Appropriate Indications for Post Surgical Regional Nodal Irradiation.- Controversial issues in breast radiotherapy.- Patient Tracking Systems.- Follow up Strategies after Breast Cancer Treatment.- Clinical Breast Exam in Treated Patients.- Diagnostic Workup in Patients with Prior Breast Conservation.- Mgmt Options with Ipsilateral Breast Tumor Recurrence.- Pregnancy After Br Ca.- Measuring Quality of Breast Cancer Care.- Survivorship Issues.- Chronic Pain Issues after Breast Surgery.- Managing Lymphedema.- Mgmt Pts with Metastases.- When Medical Treatment Is Unable to Halt Disease Progression: (Re)introducing Palliative Care and Appropriate Timing for Hospice.

Notă biografică

Frederick M. Dirbas, MD
Associate Professor of Surgery, Stanford University Medical Center, Stanford Cancer Institute, Palo Alto, CA, USA
Carol E.H. Scott-Conner, MD, PhD
Professor of Surgery, University of Iowa Carver College of Medicine, Holden Comprehensive Cancer Center, Iowa City, IA, 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
Revised and updated new edition