This volume is a contemporary guide to the management of breast diseases, both benign and malignant. This multidisciplinary resource includes significant expertise from the disciplines of radiology, pathology, oncology, psychology, and nursing care, as well as insights from plastic surgeons and other allied health professionals.
With a focus on practical patient management, the book takes a problem-based learning approach and includes strategies to tackle clinical challenges which, whilst seen in practice, are often poorly understood and taught.
Each chapter succinctly covers the seminal evidence-based literature whilst placing this within a patient-centred context. The multidisciplinary approach reflects contemporary clinical practice.
Breast surgeons, surgeons in training positions, and the wider multidisciplinary breast management team will all benefit from this authoritative guide.
Table of Contents:
Section I – Initial Assessment
Family History and High-Risk Surveillance. The Principles of Triple Assessment Breast Screening. Mammography and Ultrasound. MRI. Localisation and Biopsy. Traditional Histopathology of Breast Cancer
The Management of B3 Lesions
The Management of Phyllodes
The Management of Intraduct Papillomas
The Evolution of the MDT
Section II – First Treatment
Neo-Adjuvant Hormone Blockade
Neo-Adjuvant Chemotherapy
Multifocal and Multicentric Disease
Wide Excision or Mastectomy
Mastectomy Plus or Minus Reconstruction
The Mystery of DCIS
The Bigger Mystery of LCIS
Learning About Lobular
Anaesthesia and Analgesia
Day Case Surgery
The ERAS Nurse
Section III – Conversations about Conservation
Incision Planning and Operating on Difficult Areas
Perforator Breast Flaps
Oncoplastic Wide Excision
Section IV – Rebuilding the Breast
Timing of Reconstruction
The Effects of Radiotherapy on Reconstruction
Nipple Sparing Mastectomy
Sub-Pectoral Implants
Pre-Pectoral Implants
Latissimus Dorsi Flaps
Free Flaps
Lipomodelling
Nipple Reconstruction
Section V – Managing the Axilla: Less is More?
Management of the Axilla
Section VI – Oncology
Hormonal Blockade
Chemotherapy
Radiotherapy
Complementary Alternative Medicine
Patterns of Recurrence
Locoregional Inoperable Recurrence
The Value of Radiology from Diagnosis to Distant Relapse
Palliative Care
Section VII – Tomorrow’s World
Predictive Assays and New Taxonomy
Modern Pathology
Breast Cancer Genetics
Technical Innovations
Advances in Radiology
Advances in Oncology
Future Roles of the Breast Nurse
Section VIII – Survivorship
To Follow-Up or not to Follow Up: That is the Question
Modifiable Risk Factors
Lymphoedema
Long Term Implications of Radiotherapy and Chemotherapy
Psychological Effects of Oncoplastic Surgery
Section IX – The Difficult Scenario
Young and Pregnant Women
Fertility Issues
The BRCA Positive Patient
Risk Reducing Mastectomy
The Older Woman
Male Breast Cancer
Section X – The Principles of Cosmetic Breast Surgery
Augmentation
Implants
Reduction and Mastopexy
Gynaecomastia
Section XI – Maintaining Good Practice
Probity and Professional Standards
Dealing with Complaints
Collecting Data and Statistics
Getting It Right First Time
Social Media for the Breast
3D Modelling for Aesthetics
The Effect of the COVID-19 Pandemic
About the Author :
Ashok Subramanian B.Sc (Hons), MBBS (Hons), FRCS (Gen) Consultant Oncoplastic Surgeon, College Tutor for Surgery ESHT
Mark William Kissin MA, MChir, FRCS Engl. BCA(h) Consultant Specialist Breast Surgeon to the Guilford Hospitals, Quality Assurance Breast Surgeon throughout South East England
Professor David C Howlett MBBS PhD FAcadMEd FRCP(Lond) FRCP(Edin) FRCR Consultant Radiologist - East Sussex Healthcare NHS Trust, Honorary Clinical Professor Radiology - Brighton and Sussex Medical School
Dr Jennifer Glendenning MBBS BSc MRCP FRCR MDres Consultant Clinical Oncologist Kent Oncology Centre
