The Changing Face of Mastectomy (from Mutilation to Aid to Breast Reconstruction)
Identifieur interne : 004A69 ( Ncbi/Merge ); précédent : 004A68; suivant : 004A70The Changing Face of Mastectomy (from Mutilation to Aid to Breast Reconstruction)
Auteurs : Stefano Zurrida ; Fabio Bassi [Italie] ; Paolo Arnone [Italie] ; Stefano Martella [Italie] ; Andres Del Castillo [Italie] ; Rafael Ribeiro Martini [Italie] ; M. Eugenia Semenkiw [Italie] ; Pietro Caldarella [Italie]Source :
- International Journal of Surgical Oncology [ 2090-1402 ] ; 2011.
Abstract
Breast cancer is the most common cancer in women. Primary treatment is surgery, with mastectomy as the main treatment for most of the twentieth century. However, over that time, the extent of the procedure varied, and less extensive mastectomies are employed today compared to those used in the past, as excessively mutilating procedures did not improve survival. Today, many women receive breast-conserving surgery, usually with radiotherapy to the residual breast, instead of mastectomy, as it has been shown to be as effective as mastectomy in early disease. The relatively new skin-sparing mastectomy, often with immediate breast reconstruction, improves aesthetic outcomes and is oncologically safe. Nipple-sparing mastectomy is newer and used increasingly, with better acceptance by patients, and again appears to be oncologically safe. Breast reconstruction is an important adjunct to mastectomy, as it has a positive psychological impact on the patient, contributing to improved quality of life.
Url:
DOI: 10.1155/2011/980158
PubMed: 22312537
PubMed Central: 3263661
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<front><div type="abstract" xml:lang="en"><p>Breast cancer is the most common cancer in women. Primary treatment is surgery, with mastectomy as the main treatment for most of the twentieth century. However, over that time, the extent of the procedure varied, and less extensive mastectomies are employed today compared to those used in the past, as excessively mutilating procedures did not improve survival. Today, many women receive breast-conserving surgery, usually with radiotherapy to the residual breast, instead of mastectomy, as it has been shown to be as effective as mastectomy in early disease. The relatively new skin-sparing mastectomy, often with immediate breast reconstruction, improves aesthetic outcomes and is oncologically safe. Nipple-sparing mastectomy is newer and used increasingly, with better acceptance by patients, and again appears to be oncologically safe. Breast reconstruction is an important adjunct to mastectomy, as it has a positive psychological impact on the patient, contributing to improved quality of life.</p>
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<journal-id journal-id-type="iso-abbrev">Int J Surg Oncol</journal-id>
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<article-id pub-id-type="pmc">3263661</article-id>
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<xref ref-type="aff" rid="I1"><sup>1, 2</sup>
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</contrib>
<contrib contrib-type="author"><name><surname>Caldarella</surname>
<given-names>Pietro</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Division of Senology, European Institute of Oncology, 20141 Milan, Italy</aff>
<aff id="I2"><sup>2</sup>
School of Medicine, University of Milan, 20141 Milan, Italy</aff>
<aff id="I3"><sup>3</sup>
Division of Plastic Surgery, European Institute of Oncology, 20141 Milan, Italy</aff>
<author-notes><corresp id="cor1">*Stefano Zurrida: <email>stefano.zurrida@ieo.it</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: Anees B. Chagpar</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>5</day>
<month>6</month>
<year>2011</year>
</pub-date>
<volume>2011</volume>
<elocation-id>980158</elocation-id>
<history><date date-type="received"><day>22</day>
<month>12</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>10</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2011 Stefano Zurrida et al.</copyright-statement>
<copyright-year>2011</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Breast cancer is the most common cancer in women. Primary treatment is surgery, with mastectomy as the main treatment for most of the twentieth century. However, over that time, the extent of the procedure varied, and less extensive mastectomies are employed today compared to those used in the past, as excessively mutilating procedures did not improve survival. Today, many women receive breast-conserving surgery, usually with radiotherapy to the residual breast, instead of mastectomy, as it has been shown to be as effective as mastectomy in early disease. The relatively new skin-sparing mastectomy, often with immediate breast reconstruction, improves aesthetic outcomes and is oncologically safe. Nipple-sparing mastectomy is newer and used increasingly, with better acceptance by patients, and again appears to be oncologically safe. Breast reconstruction is an important adjunct to mastectomy, as it has a positive psychological impact on the patient, contributing to improved quality of life.</p>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Italie</li>
</country>
<region><li>Lombardie</li>
</region>
<settlement><li>Milan</li>
</settlement>
</list>
<tree><noCountry><name sortKey="Zurrida, Stefano" sort="Zurrida, Stefano" uniqKey="Zurrida S" first="Stefano" last="Zurrida">Stefano Zurrida</name>
</noCountry>
<country name="Italie"><region name="Lombardie"><name sortKey="Bassi, Fabio" sort="Bassi, Fabio" uniqKey="Bassi F" first="Fabio" last="Bassi">Fabio Bassi</name>
</region>
<name sortKey="Arnone, Paolo" sort="Arnone, Paolo" uniqKey="Arnone P" first="Paolo" last="Arnone">Paolo Arnone</name>
<name sortKey="Caldarella, Pietro" sort="Caldarella, Pietro" uniqKey="Caldarella P" first="Pietro" last="Caldarella">Pietro Caldarella</name>
<name sortKey="Del Castillo, Andres" sort="Del Castillo, Andres" uniqKey="Del Castillo A" first="Andres" last="Del Castillo">Andres Del Castillo</name>
<name sortKey="Martella, Stefano" sort="Martella, Stefano" uniqKey="Martella S" first="Stefano" last="Martella">Stefano Martella</name>
<name sortKey="Ribeiro Martini, Rafael" sort="Ribeiro Martini, Rafael" uniqKey="Ribeiro Martini R" first="Rafael" last="Ribeiro Martini">Rafael Ribeiro Martini</name>
<name sortKey="Semenkiw, M Eugenia" sort="Semenkiw, M Eugenia" uniqKey="Semenkiw M" first="M. Eugenia" last="Semenkiw">M. Eugenia Semenkiw</name>
</country>
</tree>
</affiliations>
</record>
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