Atlas of Procedures in Breast Cancer Surgery discusses the latest developments in sentinel lymph node biopsy, refinements to the classic methods of excision and of reconstruction, and surgical issues in the male breast cancer patient.

Features:

• Covers basic principles and procedures including breast biopsy for the palpable lesion and needle localization for the non-palpable lesion
• Provides discussions of major duct excision and the emerging technology of MRI-guided needle localization
• Includes a wealth of strategies and techniques for maximizing local control while preserving cosmetic outcome in breast-conservation therapy
• Addresses the issue of central lumpectomy with resection of the nipple-areolar complex and reconstruction of the remaining breast mound
• Presents the Veronesi quadrantectomy approach to breast-conservation therapy with sentinel lymph node biopsy
• Discusses total mastectomy, skin-sparing mastectomy and the emerging technology of nipple-sparing mastectomy, as well as modified radical mastectomy and full axillary lymphadenectomy
• Elucidates the rapidly evolving technique of sentinel lymph node biopsy, including the surgical approach to the internal mammary nodes

Contents

Basic Principles and Procedures in Breast Surgery

• Breast Biopsy
• Breast Biopsy with Needle Localization
• MRI-Guided Needle Localization
• Major Duct Excision

Procedures for Treatment of Breast Cancer

• Breast-Conservation Therapy
• Re-Excision of Margins
• Central Lumpectomy with Resection of the Nipple-Areolar Complex
• Quadrantectomy with Sentinel Lymph Node Biopsy
• Total Mastectomy
• Skin-Sparing Mastectomy with and without Sentinel Lymph Node Biopsy
• Nipple-Sparing Mastectomy
• Completion Mastectomy with Axillary Lymph Node Dissection
• Modified Radical Mastectomy
• Internal Mammary Lymph Node Biopsy

Procedures for Breast Reconstruction

• Tissue Expander after Total Mastectomy
• Exchange of Tissue Expander for Permanent Implant
• The TRAM Flap
• Breast Reconstruction with the Latissimus Dorsi Myocutaneous Flap
• Nipple-Areolar Reconstruction

Special Cases

• Male Breast Cancer
• Wide Local Excision with Intraoperative Radiation Therapy

Index

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