China
Africa
Explore chapters and articles related to this topic
March 2006–May 2007
Published in Kate Hayward, From Oncology Nursing to Coping with Breast Cancer, 2021
Each time the phone rang I wondered if it was Phil Turton as he hoped to get a result today. Thankfully he rang early evening and it’s more benign calcification so we can go back to the original plan for the mastopexy and he can excise the affected area at the same time. It’s about the size of a plum that needs cutting out. He told me to ‘crack open the champagne’ and although I’m delighted not to have more malignancy I feel like I’ve lots of unanswered questions about the implications of leaving the breast tissue in situ. I can’t help wondering if I will always have to worry about the right side becoming malignant as well. My Phil feels the same so will be glad to get to the appointment with Phil Turton on 12th March. Checked my records and it was the 14th March 2006 when I was told about the first biopsy result from the right breast. Is it going to be like this each time I have a mammogram? I know that’s the concern for my Phil and he said he really didn’t know what we were celebrating as he feels a bit confused.
Breast Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Gaural Patel, Lucy Kate Satherley, Animesh JK Patel, Georgina SA Phillips
A 56-year-old woman presents with a significant defect in the upper inner quadrant of her left breast following WLE and completion of radiotherapy 9 months previously. She is otherwise fit and well. What are the options for symmetrisation?Volume replacement Fat grafting, miniflapVolume displacement Contralateral reduction/mastopexy (to reduce breast parenchyma, skin or both)
Cosmetic procedures and the law
Published in Melanie Latham, Jean V. McHale, The Regulation of Cosmetic Procedures, 2020
Melanie Latham, Jean V. McHale
Nonetheless establishing a successful case may still post Montgomery be challenging as the case of Claire Worrall v Dr Helena Antoniadou in 2016 illustrated.111 Here the claimant went for a consultation in relation to a breast augmentation operation before her intended wedding. She indicated that she would not have wanted a more invasive mastopexy as her friend had has that operation and suffered consequent pain and scarring. The procedure did not produce the results she had hoped. Within 10 months of the operation she was told she would need a mastopexy. The claimant said she had been told she wouldn’t need a mastopexy for 5–10 years. She said had she known this she would have left the operation until her mid-30’s – she was at that time 28 years old and then would have had both the augmentation and mastopexy. The defendant rejected this and said that she had said simply that the claimant would have needed a mastopexy sooner or later.
Diffuse dermal angiomatosis localized to abdominal striae
Published in Baylor University Medical Center Proceedings, 2020
Madeline R. Frizzell, Sheevam Shah, Palak Parekh
The treatment for DDA focuses on improving tissue hypoxemia with control of atherosclerotic risk factors and revascularization of the occluded artery. Many case reports describe the use of isotretinoin, topical and systemic corticosteroids, and topical and systemic antibiotics, but the results are variable, with many reporting little to no improvement.5,10–12 Isotretinoin proved to be effective for some, but recurrence occurred in several patients.13–15 Of patients with breast involvement, the treatment that was consistently successful was mastopexy with removal of the affected skin.5,16 Some reports have suggested that smoking cessation alone helps improve lesions.8 Other therapies attempted without success include hyaluronic acid, silver dressings, astringents, antiviral therapy, topical tacrolimus ointment, pimecrolimus cream, fluticasone propionate, Biafine emulsion, etanercept, and hydroxychloroquine sulfate.5,7 Most successful treatments involve revascularization, with resolution of the lesions within a few weeks to months.
Importance of long-term monitoring of patients with breast reconstructions: a case of 10-year cancer recurrence
Published in Case Reports in Plastic Surgery and Hand Surgery, 2022
Sarah Hardwick, Sanjeev Hariparsad, Nakul Kain, Charles M. Malata
A 41-year-old woman was diagnosed with right-sided breast cancer in 2003. She underwent skin-sparing mastectomy and axillary clearance, with immediate breast reconstruction (IBR) with an expandable implant (hereafter referred to as an expander). The histopathological results revealed an 8.4 mm grade 2 invasive ductal carcinoma with associated intermediate grade ductal carcinoma in-situ. The tumour was oestrogen, progesterone and HER2/NEU receptor positive, with clear resection margins and no vascular invasion. One out of 29 axillary lymph nodes examined was positive, giving her a Nottingham Prognostic Index score of 5.7. She therefore received postoperative chemotherapy and radiotherapy, as well as tamoxifen and anastrozole therapy which were completed in 2009. However, prior to receiving radiotherapy, an expander-to-implant exchange had to be performed earlier than planned due to spontaneous deflation of the expander. Despite this the patient remained unhappy with her reconstruction and was therefore referred to the plastic surgery service in 2010. Given her suboptimal reconstruction combined with radiation-induced capsular contracture, a totally autologous conversion to a free flap was undertaken [16]. This salvage surgery comprised total capsulectomy with implant removal and tertiary [16] reconstruction with a DIEP flap. A simultaneous contralateral balancing mastopexy was also performed (Figure 1: pre-salvage, post-salvage and post-fat grafting appearances). Histopathological analysis of the capsulectomy specimen, the mastectomy scar, and an incidental internal mammary lymph node showed no evidence of malignancy. The breast tissue from the contralateral mastopexy showed no abnormality.
Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective
Published in Journal of Investigative Surgery, 2022
Diletta Maria Pierazzi, Edoardo Pica Alfieri, Roberto Cuomo, Maria Alessandra Bocchiotti, Luca Grimaldi, Aniello Donniacuo, Irene Zerini, Giuseppe Nisi
Mastopexy was performed in patients with Regnault’s grade 2 or grade 3 breast ptosis using superior pedicle technique without breast implants placement.19 The procedure was characterized by Wise pattern drawing, de-epithelialization of the keyhole and skin around nipple-areola complex (NAC), removal of skin excess in the lower part of the Wise pattern, detachment of the gland from pectoralis muscle fascia and back plication of the lower pole of breast parenchyma on itself to improve projection and long-term results. One suction drain for each breast was inserted followed by skin closure and compression dressing.20