Medical Oncology

Breast Surgery

Questions discussed in this category

Should axillary imaging be routinely performed in all patients with a new diagnosis of breast cancer?

1 Answer available

Would you consider lymphovascular invasion at the margin to be a positive margin in breast cancer surgery?

Would you recommend re-excision or proceed to adjuvant therapy if the tissue margin is negative? Pathologist states that tumor foci at margin was only...

2 Answers available

What is the threshold for negative surgical margins in multifocal microinvasive carcinoma of the breast?

Do you follow invasive or DCIS guidelines? Would you consider re-excision in a patient with multifocal microinvasive carcinoma of the breast arising i...

2 Answers available

When do you recommend endocrine therapy for chemoprevention in women with high risk benign breast lesions?

1 Answer available

How would you advise a woman who had a full axillary lymph node dissection on the risk of lymphedema with mountain climbing?

I have a patient who will be climbing to the base camp of Mount Everest. Does a climb to 15,000 feet increase her risk? Should she wear a compression ...

1 Answer available

Is ALND required in all patient with clinically positive axillary nodes?

1 Answer available

What is your approach to young healthy women with locally advanced breast cancer and biopsy-proven low cervical lymph nodes?

Would you treat this as a locally advanced breast cancer and offer surgery, radiation, and systemic therapy? Does your management change depending on ...

2 Answers available

Would you do ALND for low ER pos (1-10%), Her2 + patient with positive sentinel lymph nodes?

Can you apply the ACOSOG Z0011 study to women who have HER2 positive disease?

1 Answer available

Does the EBCTCG meta-analysis showing higher LRR in NAC group sway you from giving neo-adjuvant chemotherapy to patients with localized breast cancer?

1 Answer available

How do you counsel women with a history of breast cancer who have dense breasts, with regards to mammography screening?

Is there a role for routine use of additional or alternative imaging modalities for these patients, such as tomosynthesis, MRI, or ultrasound? I...

2 Answers available

Papers discussed in this category

The breast journal, 1999-01

Mammographically Occult Breast Cancers.

Annals of surgical oncology, 2010-10

Impact of breast density on the presenting features of malignancy.

JAMA, 2013-10-09

Sentinel lymph node surgery after neoadjuvant chemotherapy in patients with node-positive breast cancer: the ACOSOG Z1071 (Alliance) clinical trial.

JAMA, 2011-02-09

Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial.

Lancet Oncol., 2013-04-01

Axillary dissection versus no axillary dissection in patients with sentinel-node micrometastases (IBCSG 23-01): a phase 3 randomised controlled trial.

Lancet Oncol., 2014-11-01

Radiotherapy or surgery of the axilla after a positive sentinel node in breast cancer (EORTC 10981-22023 AMAROS): a randomised, multicentre, open-label, phase 3 non-inferiority trial.

Breast, 2017-02-01

Using ultrasound and palpation for predicting axillary lymph node status following neoadjuvant chemotherapy - Results from the multi-center SENTINA trial.

J. Clin. Oncol., 2015-01-20

Sentinel node biopsy after neoadjuvant chemotherapy in biopsy-proven node-positive breast cancer: the SN FNAC study.

N. Engl. J. Med.,

Adjuvant Capecitabine for Breast Cancer after Preoperative Chemotherapy.

International journal of radiation oncology, biology, physics, 2014-03-01

The impact of radiation therapy on the risk of lymphedema after treatment for breast cancer: a prospective cohort study.

Breast cancer research and treatment, 2013-11

Impact of body mass index and weight fluctuation on lymphedema risk in patients treated for breast cancer.

Annals of surgery, 2016-02

Immediate Implant Reconstruction Is Associated With a Reduced Risk of Lymphedema Compared to Mastectomy Alone: A Prospective Cohort Study.

Breast cancer research and treatment, 2013-08

Defining a threshold for intervention in breast cancer-related lymphedema: what level of arm volume increase predicts progression?

Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2016-03-01

Impact of Ipsilateral Blood Draws, Injections, Blood Pressure Measurements, and Air Travel on the Risk of Lymphedema for Patients Treated for Breast Cancer.

The Lancet. Oncology, 2016-09

Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.

NPJ breast cancer, 2016

Randomized trial of medroxyprogesterone acetate for the prevention of endometrial pathology from adjuvant tamoxifen for breast cancer: SWOG S9630.

Ann. Surg.,

Relationship Between Margin Width and Recurrence of Ductal Carcinoma In Situ: Analysis of 2996 Women Treated With Breast-conserving Surgery for 30 Years.

Journal of Cancer, 2017

DCIS Margins and Breast Conservation: MD Anderson Cancer Center Multidisciplinary Practice Guidelines and Outcomes.

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