Surgery for Breast Cancer Flashcards
what are the two types of breast surgery for breast cancer?
breast conservation (BCT) mastectomy
what are the three ways that BCT can be done?
wide local excision
image guided local excision
oncoplastic breast conservation (including therapeutic mammoplasty)
when can wide local excision BCT be done for a breast cancer?
if a lesion is palpable
how can localisation be achieved for image guided local excision?
wires
magnetic seed
radiofrequency marker
what is oncoplastic breast conservation?
safe oncological surgery whilst avoiding tissue deformity
uses plastic surgery principles to reshape the breast contours at the time of cancer resection
name three therapeutic mammoplasty techniques that can be performed and what breast size they are appropriate for
therapeutic mastopexy - medium
therapeutic reduction mammoplasty - larger
volume replacement - smaller
what is mastectomy?
removal of all breast tissue
what are the two options for mastectomy?
traditional transverse
skin sparing with immediate reconstruction
what are the two options for neoadjuvant treatment to achieve breast conservation?
chemotherapy
endocrine therapy
what chemotherapy can be given as neoadjuvant treatment prior to BCT?
FEC and taxane
with or without herceptin
what endocrine therapy can be given as neoadjuvant treatment prior to BCT and who is given this?
aromatase inhibitors
usually reserved for postmenopausal women
what needs to be done alongside BCT?
radiotherapy
which type of surgery for breast cancer has better body image outcomes?
BCT
what are the two options for after mastectomy?
external prosthesis
reconstruction - either immediate or delayed
name some options for reconstruction after mastectomy
implant reconstruction
latissimus dorsi flap
inferior/superior gluteal artery perforator flap (IGAP/SGAP)
transverse upper gracilis flap (TUG)
