Breast Cancer Surgery 2004. William A. Barber, M.D. Piedmont Hospital. Breast Cancer Screening. Case Report. 45 y.o patient with two children ages 10 and 13 Mother had breast cancer at age 65 Gail 5 yr risk score 1.7 Undergoes yearly mammograms. CC View of Mammogram May 2001.
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William A. Barber, M.D.
CC View of Mammogram May 2001
3.5cm Mass Upper
CC View of Mammogram April 2002
How do you chose?
Total (simple) Mastectomy
Modified Radical Mastectomy
Is Radical Mastectomy still in use?
What is it?
Is Subcutaneous Mastectomy a cancer operation?
How does it differ from Total Mastectomy?
Encapsulated silicone implant reconstruction corrected with tissue expansion. The capsule is first excised, and the tissue expander is used to create an oversized pocket for the implant.
A, Preop view: 67-YO following MRM. B, Postop view: following left autogenous latissimus reconstruction w/o implant. Opposite breast reduction mammoplasty required for symmetry.
A & B, Preop & Postop views following left free TRAM reconstruction. Skin replacement included all skin between scar & inframammary fold. Nipple reconstruction, opposite mastopexy done at separate procedure.
Tram flap with nipple reconstruction and tatooing
What is NeoAdjuvant Chemotherapy?
When is it used?
prevent bending or
coiling of the catheter shaft
Multilumen, silicone catheter
Variable 4 to 5 cm balloon
Needleless injection site
Time of Lumpectomy
Scar Entry (SET)
3-Dimensional rendering of applicator surface