By V. Suzanne Klimberg
The Atlas of Breast Surgical options, edited by way of V. Suzanne Klimberg, MD, provides cutting-edge visible information on state-of-the-art complete diversity of breast surgical procedure ideas. during this name in Drs. Townsend and Evers' new Surgical thoughts Atlas sequence, esteemed foreign participants provide you with specialist step by step suggestion on a wide range of surgeries, together with the latest ablative and reconstructive ways, that can assist you extend your repertoire and hone your operative abilities. colour surgical photographs, biopsy specimens, and artists' renderings of key anatomy express you what to seem for and the way to continue; and on-line entry at expertconsult.com helps you to seek advice the booklet from any desktop and watch surgical video clips demonstrating find out how to execute key points of many procedures.
- Includes handy entry to the complete textual content on-line, with a downloadable picture assortment in addition to operative video clips that show how one can practice key strategies.
- Offers step by step suggestions on a variety of breast surgical procedure techniques, providing you with a number of suggestions for forthcoming any problem.
- Covers the most well liked themes in breast surgical procedure, together with new ablative and reconstructive techniques.
- Presents greater than 550 full-color illustrations and operative photographs, biopsy specimens, and artists' renderings of key anatomy, for professional visible suggestions.
- Discusses scientific anatomy, pre-operative concerns, operative steps, pearls and pitfalls, and post-operative take care of each strategy, delivering all of the information you want to get the easiest results.
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Extra info for Atlas of Breast Surgical Techniques: A Volume in the Surgical Techniques Atlas Series
Radial incisions are preferred in this circumstance. Others prefer radial incisions because cancer grows in a radial fashion (see Fig. 6-1). The edge of the dermis is then freed to facilitate retractor placement as well as optimal closure. Chapter 6 • Excisional Breast Biopsy of Palpable or Nonpalpable Lesions Figure 6-3 Incision lines Figure 6-4 Figure 6-5 63 64 Section I • Excisional Biopsy/Partial Mastectomy 4. Margin Estimation ◆ ◆ ◆ The surgeon should aim for a 1-cm margin around a mass as determined by palpation and US guidance (Fig.
31 CHAPTER 4 Stereotactic Breast Biopsy Richard E. Fine Step 1. Surgical Anatomy ◆ ◆ ◆ ◆ Familiarity with the normal mammogram, along with the morphologic features of those lesions that constitute an abnormal mammogram and indications for biopsy, is essential. Figure 4-1 demonstrates the radial lobar anatomy of the breast, comprising the parenchyma, ﬁbrous network, and adipose elements. Figure 4-2 shows a histopathologic section of the normal terminal duct lobular unit (TDLU), the structure responsible for most of the mammographic abnormalities detected.
Surgical Anatomy ◆ ◆ Figure 6-1 demonstrates the anatomic positions of various breast abnormalities. Figure 6-2 shows the subcutaneous anatomy of the breast. Step 2. Preoperative Considerations ◆ ◆ ◆ ◆ ◆ 60 It is preferable to obtain a deﬁnitive diagnosis through needle core biopsy before performing excisional breast biopsy (EBB). The so-called triple-negative test was developed to identify patients in whom EBB could be obviated and refers to a combination of results from physical examination, imaging (mammography or ultrasonography [US]), and pathology in palpable lesions less than 1 cm in diameter.
Atlas of Breast Surgical Techniques: A Volume in the Surgical Techniques Atlas Series by V. Suzanne Klimberg