An Update in Breast Cancer Screening and Management
Identifieur interne : 001521 ( Pmc/Checkpoint ); précédent : 001520; suivant : 001522An Update in Breast Cancer Screening and Management
Auteurs : Sanjay Warrier [Australie] ; Grace Tapia [Australie] ; David Goltsman [Australie] ; Jane Beith [Australie]Source :
- Women's Health [ 1745-5057 ] ; 2015.
Abstract
This article provides an overview of the main controversies in a number of key areas of breast cancer management. Relevant studies that have contributed to guide the treatment of this heterogeneous disease in the field of breast screening, surgery, chemotherapy and radiotherapy are highlighted. Mammography and ultrasound are the main methods of breast screening. MRI and tomosynthesis are emerging as new screening tools for a selected group of breast cancer patients. From a surgical perspective, oncoplastic techniques and neoadjuvant chemotherapy are improving cosmetic results in breast-conserving surgery. For high-risk patients, controversies still remain regarding prophylactic mastectomies. Finally, the appropriate management of the axilla continues evolving with the increasing role of radiotherapy as an alternative treatment to axillary dissection.
Url:
DOI: 10.2217/whe.15.105
PubMed: 26689336
PubMed Central: 5375048
Affiliations:
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wicri:level="1"><nlm:aff id="aff1-whe.15.105"> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2-whe.15.105"> RPA Institute of Academic Surgery, Missenden Road, Sydney 2050, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea> RPA Institute of Academic Surgery, Missenden Road, Sydney 2050</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Tapia, Grace" sort="Tapia, Grace" uniqKey="Tapia G" first="Grace" last="Tapia">Grace Tapia</name><affiliation wicri:level="1"><nlm:aff id="aff1-whe.15.105"> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Goltsman, David" sort="Goltsman, David" uniqKey="Goltsman D" first="David" last="Goltsman">David Goltsman</name><affiliation wicri:level="1"><nlm:aff id="aff1-whe.15.105"> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Beith, Jane" sort="Beith, Jane" uniqKey="Beith J" first="Jane" last="Beith">Jane Beith</name><affiliation wicri:level="1"><nlm:aff id="aff3-whe.15.105"> Department of Medical Oncology, Chris O' Brien Lifehouse, Missenden Road, Sydney 2050, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea> Department of Medical Oncology, Chris O' Brien Lifehouse, Missenden Road, Sydney 2050</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author></analytic><series><title level="j">Women's Health</title><idno type="ISSN">1745-5057</idno><idno type="eISSN">1745-5065</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This article provides an overview of the main controversies in a number of key areas of breast cancer management. Relevant studies that have contributed to guide the treatment of this heterogeneous disease in the field of breast screening, surgery, chemotherapy and radiotherapy are highlighted. Mammography and ultrasound are the main methods of breast screening. MRI and tomosynthesis are emerging as new screening tools for a selected group of breast cancer patients. From a surgical perspective, oncoplastic techniques and neoadjuvant chemotherapy are improving cosmetic results in breast-conserving surgery. For high-risk patients, controversies still remain regarding prophylactic mastectomies. Finally, the appropriate management of the axilla continues evolving with the increasing role of radiotherapy as an alternative treatment to axillary dissection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berry, Da" uniqKey="Berry D">DA Berry</name></author><author><name sortKey="Cronin, Ka" uniqKey="Cronin K">KA Cronin</name></author><author><name sortKey="Plevritis, Sk" uniqKey="Plevritis S">SK Plevritis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Perou, Cm" uniqKey="Perou C">CM Perou</name></author><author><name sortKey="Sorlie, T" uniqKey="Sorlie T">T 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Womens Health (Lond)</journal-id><journal-id journal-id-type="iso-abbrev">Womens Health (Lond)</journal-id><journal-id journal-id-type="publisher-id">WHE</journal-id><journal-id journal-id-type="hwp">spwhe</journal-id><journal-title-group><journal-title>Women's Health</journal-title></journal-title-group><issn pub-type="ppub">1745-5057</issn><issn pub-type="epub">1745-5065</issn><publisher><publisher-name>SAGE Publications</publisher-name><publisher-loc>Sage UK: London, England</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26689336</article-id><article-id pub-id-type="pmc">5375048</article-id><article-id pub-id-type="doi">10.2217/whe.15.105</article-id><article-id pub-id-type="publisher-id">10.2217_whe.15.105</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>An Update in Breast Cancer Screening and Management</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Warrier</surname><given-names>Sanjay</given-names></name><xref ref-type="corresp" rid="corresp1-whe.15.105">*</xref><xref ref-type="aff" rid="aff1-whe.15.105">1</xref><xref ref-type="aff" rid="aff2-whe.15.105">2</xref></contrib><contrib contrib-type="author"><name><surname>Tapia</surname><given-names>Grace</given-names></name><xref ref-type="aff" rid="aff1-whe.15.105">1</xref></contrib><contrib contrib-type="author"><name><surname>Goltsman</surname><given-names>David</given-names></name><xref ref-type="aff" rid="aff1-whe.15.105">1</xref></contrib><contrib contrib-type="author"><name><surname>Beith</surname><given-names>Jane</given-names></name><xref ref-type="aff" rid="aff3-whe.15.105">3</xref></contrib></contrib-group><aff id="aff1-whe.15.105"><label>1</label> Department of Breast Surgery, Chris OBrien Lifehouse, Missenden Road, Sydney 2050, Australia</aff><aff id="aff2-whe.15.105"><label>2</label> RPA Institute of Academic Surgery, Missenden Road, Sydney 2050, Australia</aff><aff id="aff3-whe.15.105"><label>3</label> Department of Medical Oncology, Chris O' Brien Lifehouse, Missenden Road, Sydney 2050, Australia</aff><author-notes><corresp id="corresp1-whe.15.105"><label>*</label> Author for correspondence: <email xlink:href="sanjay@drsanjaywarrier.com.au">sanjay@drsanjaywarrier.com.au</email></corresp></author-notes><pub-date pub-type="epub"><day>21</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2016</year></pub-date><volume>12</volume><issue>2</issue><fpage>229</fpage><lpage>239</lpage><history><date date-type="accepted"><day>1</day><month>12</month><year>2015</year></date></history><permissions><copyright-statement>© 2016 Sanjay Warrier</copyright-statement><copyright-year>2016</copyright-year><copyright-holder content-type="sage">SAGE Publications</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License. To view a copy of this license, visit <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">http://creativecommons.org/licenses/by-nc-nd/4.0/</ext-link></license-p></license></permissions><abstract><p>This article provides an overview of the main controversies in a number of key areas of breast cancer management. Relevant studies that have contributed to guide the treatment of this heterogeneous disease in the field of breast screening, surgery, chemotherapy and radiotherapy are highlighted. Mammography and ultrasound are the main methods of breast screening. MRI and tomosynthesis are emerging as new screening tools for a selected group of breast cancer patients. From a surgical perspective, oncoplastic techniques and neoadjuvant chemotherapy are improving cosmetic results in breast-conserving surgery. For high-risk patients, controversies still remain regarding prophylactic mastectomies. Finally, the appropriate management of the axilla continues evolving with the increasing role of radiotherapy as an alternative treatment to axillary dissection.</p></abstract><kwd-group><kwd>breast cancer</kwd><kwd>breast cancer management</kwd><kwd>breast cancer update</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Australie</li></country><region><li>Nouvelle-Galles du Sud</li></region><settlement><li>Sydney</li></settlement></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Warrier, Sanjay" sort="Warrier, Sanjay" uniqKey="Warrier S" first="Sanjay" last="Warrier">Sanjay Warrier</name></region><name sortKey="Beith, Jane" sort="Beith, Jane" uniqKey="Beith J" first="Jane" last="Beith">Jane Beith</name><name sortKey="Goltsman, David" sort="Goltsman, David" uniqKey="Goltsman D" first="David" last="Goltsman">David Goltsman</name><name sortKey="Tapia, Grace" sort="Tapia, Grace" uniqKey="Tapia G" first="Grace" last="Tapia">Grace Tapia</name><name sortKey="Warrier, Sanjay" sort="Warrier, Sanjay" uniqKey="Warrier S" first="Sanjay" last="Warrier">Sanjay Warrier</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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