1st Edition
Oncoplastic Breast Surgery A Practical Guide
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
MRI
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
Lipomodelling
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
Chemotherapy
Raj Sinha
Radiotherapy
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
Lymphoedema
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
Augmentation
Marc Pacifico
Implants
Marc Pacifico
Reduction and Mastopexy
Alison Hunter-Smith and Anne Tansley
Gynaecomastia
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
Biography
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
