BREAST SRUGER

Question 1

which types of surgery are breast conserving

Answer 1

‘lumpectomy’
wide local excision
wire guided local excision
oncosplastic breast conservation inc therapeutic mammoplasty

Question 2

non-breast conserving surgeries

Answer 2

traditional transverse mastectomy

skin sparing with immediate reconstruction

Question 3

how big should margins be for WLE

Answer 3

1 cm

Question 4

there are equivalent disease free and overall survival for BCS as mastectomy as long as…

Answer 4

clear margins >1 mm

breast radiotherapy

Question 5

how can neoadjuvant chemo be useful

Answer 5

shrink lesion to allow for less surgery

Question 6

complications of implants

Answer 6

loss of implants (infection)
capsular contracture
implant rippling
implant migration

Question 7

describe ‘two stage’ implant reconstruction

Answer 7

1st: mastectomy and creation of sub muscular pocket with expander insertion

clinic visits for expansion 2 weekly

2nd: change expander for permanent implant

Question 8

axillary surgery options

Answer 8

staging: USS axilla +/- core biopsy
sentinel node biopsy
axillary clearance
axillary radiotherapy