1st Edition

Oncoplastic Breast Surgery A Practical Guide

    400 Pages 240 B/W Illustrations
    by CRC Press

    400 Pages 240 B/W Illustrations
    by CRC Press

    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.

    Family History and High-Risk Surveillance

    Lis Grimsey

    The Principles of Triple Assessment

    Annaliese Lawn and Hannah Knowles

    Breast Screening

    Sue Barter

    Mammography and Ultrasound

    William Teh, Leila Ismail and Gary Rubin


    William Teh, Konstantia Diana Stavrou

    Localisation and Biopsy

    William Teh, Mia Morgan

    Traditional Histopathology of Breast Cancer

    Wen Ng and Sarah E. Pinder

    The Management of B3 Lesions

    Wen Ng and Sarah E. Pinder

    The Management of Phyllodes

    Manish Kothari and Rahul Deb

    The Management of Intraduct Papillomas

    Manish Kothari and Rahul Deb

    The Evolution of the MDT

    Mark Sibbering and Brenda Muntean

    Section II – First Treatment

    Neo-Adjuvant Hormone Blockade

    Amna Sheri

    Neo-Adjuvant Chemotherapy

    Judy King, Valerie Crolley, Alison Jones

    Multifocal and Multicentric Disease

    Zoe Winters and Adam Heetun

    Wide Excision or Mastectomy

    Meera Joshi, Pooja Padmanabhan, and Elizabeth Clayton

    Mastectomy Plus or Minus Reconstruction

    Farrokh Pakzad

    The Mystery of DCIS

    Arany Soosainathan & Mark Kissin

    The Bigger Mystery of LCIS

    Giles Cunnick and V Passi

    Learning About Lobular

    Elizabeth Sharp & Veronika Pronisceva

    Anaesthesia and Analgesia

    Tara Bolton & James Bennett

    Day Case Surgery

    Jo Marsden

    The ERAS Nurse

    Radhika Merh

    Section III – Conversations about Conservation

    Incision Planning and Operating on Difficult Areas

    Ash Subramanian

    Perforator Breast Flaps

    Peter Barry and Tania de Silva

    Oncoplastic Wide Excision

    Alison Hunter-Smith and Richard Sutton

    Section IV – Rebuilding the Breast

    Timing of Reconstruction

    Zoe Winters

    The Effects of Radiotherapy on Reconstruction

    Radhika Merh

    Nipple Sparing Mastectomy

    Jennifer Rusby and Rachel o'Connell

    Sub-Pectoral Implants

    Tracey Irvine, Noor Obeid and Carol Norman

    Pre-Pectoral Implants

    Soni Soumian and Mihir Chandarana

    Latissimus Dorsi Flaps

    Mark Kissin

    Free Flaps

    David Thomson and Alexandra Molina


    Stacy Wardle, Riccardo Bonomi, I. Fabio Rapisarda, Lorna Cook, Dibendu Betal

    Nipple Reconstruction

    David Thomson and Alexandra Molina

    Section V – Managing the Axilla: Less is More?

    Management of the Axilla

    Section VI – Oncology

    Hormonal Blockade

    Jenny Glendenning and Russell Burscombe


    Raj Sinha


    Shirin Namini

    Complementary Alternative Medicine

    Mark Kissen and Jessica Richards

    Patterns of Recurrence

    Jessica Gough, Samantha Forner, Sarah Hunter, Jennifer Glendenning

    Locoregional Inoperable Recurrence

    Jessica Gough, Samantha Forner, Sarah Hunter, Jennifer Glendenning

    The Value of Radiology from Diagnosis to Distant Relapse

    Steve Allen and Emily Daulton

    Palliative Care

    Luci Cook and Farida Malik

    Section VII – Tomorrow’s World

    Predictive Assays and New Taxonomy

    Wen Ng and Sarah Pinder

    Modern Pathology

    Wen Ng and Sarah Pinder

    Breast Cancer Genetics

    Julian Barwell and Maurice Dungey

    Technical Innovations

    Edward St John, Rachel O’Connell & Daniel Leff

    Advances in Radiology

    Jiyon Lee

    Advances in Oncology

    Vasileios Angelis and Catherine Harper-Wynne

    Future Roles of the Breast Nurse

    Claire Ryan

    Section VIII – Survivorship

    To Follow-Up or not to Follow Up: That is the Question

    Ash Subramanian and Mark Kissin

    Modifiable Risk Factors

    Adam Heetun, Ellen Copson, Ramsey Cutress


    Tania de Silva

    Long Term Implications of Radiotherapy and Chemotherapy

    Van Sim, Samantha Forner, Jennifer Glendenning

    Psychological Effects of Oncoplastic Surgery

    Diana Harcourt

    Section IX – The Difficult Scenario

    Young and Pregnant Women

    David Bloomfield and Mariana Velasco Bloomfield

    Fertility Issues

    David Bloomfield and Mariana Velasco Bloomfield

    The BRCA Positive Patient

    Andrew Baildam

    Risk Reducing Mastectomy

    Ross Kenny

    The Older Woman

    Richard Simcock

    Male Breast Cancer

    Ian S. Fentiman

    Section X – The Principles of Cosmetic Breast Surgery


    Marc Pacifico


    Marc Pacifico

    Reduction and Mastopexy

    Alison Hunter-Smith and Anne Tansley


    Ian S. Fentiman

    Section XI – Maintaining Good Practice

    Probity and Professional Standards

    Ashu Gandhi

    Dealing with Complaints

    Tim Davidson

    Collecting Data and Statistics

    Dee Daly

    Getting It Right First Time

    Tracey Irvine, Carol Norman, and Noor Obeid

    Social Media for the Breast

    Adam Heetun

    3D Modelling for Aesthetics

    Frederico Roldao and Alejandro Maciel, Jesús F Escrivá-Machado, Terri Coutee, Ash Subramanian

    The Effect of the COVID-19 Pandemic

    Cliona Kirwan and Rajiv Dave




    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