Surgery and Reconstruction for Breast Cancer

Question 1

how long does breast surgery take?

Answer 1

2hrs

Question 2

lumpectomy means..

Answer 2

wide local excision (dont say lumpectomy)

Question 3

breast conserving surgery is only equivalent to a mastectomy if….

Answer 3

radiotherapy is given too

Question 4

what Tx stops recurrence

Answer 4

systemic therapy (getting a mastectomy will not stop mets)

Question 5

patients become unsatisfied if over __% of the breast is removed

Answer 5

10-15

Question 6

what should be done to minimise breast tissue loss in breast conserving surgery

Answer 6

chemotherapy first

Question 7

what hormonal therapy is good as a neoadjuvant therapy pre surgery?

Answer 7

aromatase inhibitor

Question 8

how is response assessed?

Answer 8

MMG
USS
MRI

Question 9

what is oncoplastic surgery?

Answer 9

taking out the cancer while maintaining cosmetic appearance

Question 10

what is involved in a vessel free flap?

Answer 10

detaching tissue from its blood supply and renastamosing its artery and vein

Question 11

the nipple is removed in what kind of breast cancer surgery?

Answer 11

free flaps

Question 12

risks of implant reconstruction?

Answer 12

INFECTION
can move and sit quite high
can look obvious

Question 13

how common is implant rejection in implant reconstruction?

Answer 13

1 in 4

Question 14

textured implants have a risk of what cancer?

Answer 14

lymphoma

Question 15

where is the implant inserted?

Answer 15

under pec major

Question 16

what surgery is always done alongside breast surgery

Answer 16

axillary surgery

Question 17

how is a sentinel node biopsy done?

Answer 17

blue dye injected into areola, nodes that take up the blue dye are removed