Academic literature on the topic 'Mastectomy'
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Journal articles on the topic "Mastectomy"
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Lima, Maria Monica Galdino de, Kamila Nethielly Souza Leite, Mona Lisa Lopes dos Santos, Erta Soraya Ribeiro César, Talita Araújo de Souza, Bruno Bezerra do Nascimento, Joseli Pereira Barboza, and Tamires Marques Dantas. "Sentimentos vivenciados pelas mulheres mastectomizadas." Revista de Enfermagem UFPE on line 12, no. 5 (May 1, 2018): 1216. http://dx.doi.org/10.5205/1981-8963-v12i5a231094p1216-1224-2018.
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RESUMOObjetivo: desvelar os sentimentos das mulheres mastectomizadas. Método: estudo quantiqualitativo, descritivo e exploratório. O universo populacional foi de 35 mulheres que fazem parte da associação “Amigas viva a vida” e amostra foi constituída por 25. O instrumento de coleta de dados foi um questionário semiestruturado, os dados estatísticos foram analisados de acordo com suas variáveis e os dados qualitativos foram analisados pelo DSC. Os resultados foram expressos em tabelas e figuras. Resultados: em relação aos aspectos clínicos, a maioria realizou mastectomia total e a metade a reconstrução mamária. A perda da mama acarretou em prejuízos físicos, porém, a forma como cada uma passou pelo processo de adoecimento e tratamento estava associada aos significados que atribuíram a doença. Conclusão: após o tratamento, os sentimentos vivenciados pelas mulheres foram parecidos, mas que a tristeza, a dor estiveram sempre presentes. Assim, os resultados desse estudo proporcionam um novo olhar na comunidade científica promovendo novas possibilidades de abordagens temáticas com as mulheres mastectomizadas. Descritores: Saúde da Mulher; Mastectomia; Emoções; Neoplasias da Mama; Autoimagem; Trauma Psicológico.ABSTRACTObjective: to reveal the feelings of women with mastectomy. Method: this is a quantitative, qualitative, descriptive and exploratory study. The population universe consisted of 35 women who are part of the "Amigas viva a vida" association and sample consisted of 25. The data collection instrument was a semi-structured questionnaire, statistical data were analyzed according to their variables and qualitative data were analyzed by the DSC. The results were expressed in tables and figures. Results: Regarding the clinical aspects, most participants performed a total mastectomy, and half had the mammary reconstruction. The loss of the breast resulted in physical damage, but the way each one went through the process of illness and treatment was associated with the meanings that attributed the disease. Conclusion: After the treatment, the feelings experienced by the women were similar, but that sadness and the pain were always present. Thus, the results of this study provide a new perspective on the scientific community promoting new possibilities for thematic approaches with women with mastectomy. Descriptors: Women's Health; Mastectomy; Emotions; Breast neoplasms; Self-image; Psychological Trauma.RESUMENObjetivo: desvelar los sentimientos de las mujeres con mastectomía. Método: estudio cuantitativo y cualitativo, descriptivo y exploratorio. El universo populacional fue de 35 mujeres que forman parte de la asociación “Amigas viva a vida” y la muestra fue constituida por 25. El instrumento de recolección de datos fue un cuestionario semi-estructurado, los datos estadísticos fueron analizados de acuerdo con sus variables y los datos cualitativos fueron analizados por el DSC. Los resultados fueron expresados en tablas y figuras. Resultados: en relación a los aspectos clínicos, la mayoría realizó mastectomía total, y la mitad la reconstrucción mamaria. La pérdida de la mama tuvo perjucios físicos, pero, la forma como cada una pasó por el proceso de enfermarse y tratamiento está asociado a los significados que atribuyeron a la enfermedad. Conclusión: después del tratamiento, los sentimientos vividos por las mujeres fueron parecidos, pero que la tristeza, y el dolor estuvieron siempre presentes. Así, los resultados de ese estudio proporcionan un nuevo punto de vista en la comunidad científica promoviendo nuevas posibilidades de enfoques temáticas con las mujeres con mastectomía. Descriptores: Salud de la Mujer; Mastectomía; Emociones; Neoplasias de la Mama; Autoimagen; Trauma Psicológica.
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Lima, Camila Gomes de, Giovana Mendes de Lacerda, Izabel Cristina Santiago Lemos de Beltrão, Dailon de Araújo Alves, and Grayce Alencar Albuquerque. "Impacto do Diagnóstico e do Tratamento do Câncer de Mama em Mulheres Mastectomizadas." Ensaios e Ciência C Biológicas Agrárias e da Saúde 24, no. 4 (December 2, 2020): 426–30. http://dx.doi.org/10.17921/1415-6938.2020v24n4p426-430.
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O câncer de mama (CM) é uma neoplasia que acomete principalmente pessoas do sexo feminino. O tratamento para o CM engloba intervenções locais, tais como: as cirurgias conservadoras e a mastectomia e/ou intervenções sistêmicas. Desse modo, o objetivo do presente estudo foi compreender o impacto do diagnóstico e do tratamento do CM para mulheres que foram submetidas à mastectomia. O estudo é descritivo-exploratório com abordagem qualitativa, realizado na cidade de Barbalha, Ceará. Para organização, análise e interpretação dos dados foi utilizada a categorização temática de Minayo. Participaram da pesquisa 11 mulheres na faixa etária de 25 a 55 anos. Utilizando a análise proposta, foram elencadas três categorias: “câncer de mama e seu significado”; “diagnóstico do câncer: mudanças e tratamento” e “mastectomia e feminilidade”. Observou-se que as mulheres submetidas à mastectomia precisam expressar resiliência para prosseguir com o tratamento e para lidar, de forma positiva, com as alterações percebidas na imagem corporal. Assim, a análise dos dados permitiu concluir que o diagnóstico e os impactos com o tratamento contemplam aspectos biológico, psíquico e social. Portanto, pelo fato dessas mulheres sofrerem diversas alterações em suas rotinas diárias, elas necessitam de sistemas de apoio congruentes e alicerçados no âmbito assistencial, familiar e comunitário.
Palavras-chave: Neoplasia. Mastectomia. Saúde da Mulher.
Abstract
Breast cancer (BC) affects especially women. Treatment for BC involves local interventions - such as conservative surgery and mastectomy - and/or systemic therapy. Thus, the aim of the present study was to understand the impact of BC diagnosis and treatment for women undergoing mastectomy. The study is descriptive and exploratory with qualitative approach, conducted in the city of Barbalha, Ceará. For data organization, analysis and interpretation, Minayo's thematic categorization was used. Eleven women aged 25 to 55 years participated in the research. Using the proposed analysis, three categories were listed: “breast cancer and its meaning”; “Cancer diagnosis: changes and treatment” and “mastectomy and femininity”. It has been observed that women undergoing mastectomy need to express resilience to proceed with treatment and to deal positively with perceived changes in body image. Thus, the data analysis allowed to conclude that the diagnosis and the impacts with the treatment include biological, psychic and social aspects. Therefore, because these women suffer several changes in their daily routines, they need congruent support systems based on care, family and community.
Keywords: Neoplasia. Mastectomy. Women's Health.
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Pender, Kelly, Daleela Dodge, and Jessica M. Collins. "Preserving choice in breast cancer treatment: A different perspective on contralateral prophylactic mastectomy." Women's Health 19 (January 2023): 174550572311758. http://dx.doi.org/10.1177/17455057231175812.
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Contralateral prophylactic mastectomy is the removal of both breasts when only one is affected by cancer. Rates of this controversial cancer treatment have been increasing since the late 1990s, even among women who do not have the kind of family history or known genetic mutation that would put them at high-risk for another breast cancer. Citing contralateral prophylactic mastectomy’s lack of oncologic benefit and increased risk of surgical complications, the American Society of Breast Surgeons discourages contralateral prophylactic mastectomy for average-risk women with unilateral cancer, as does most of the medical literature on this topic. Within this literature, desire for contralateral prophylactic mastectomy is often painted as the product of an emotional overreaction to a cancer diagnosis and misunderstanding of breast cancer risk. Drawing on the personal experience of a breast cancer survivor, as well as relevant medical literature on breast cancer screening and surgery, this article offers a different perspective on the ongoing popularity of contralateral prophylactic mastectomy, one that focuses on practical experiences and logical deliberations about those experiences. Specifically, it calls attention to two features of the contralateral prophylactic mastectomy decision-making situation that have been inadequately covered in the medical literature: (1) the way that breast cancer screening after a breast cancer diagnosis can become a kind of radiological overtreatment, even for “average-risk” women; and (2) how desire for bodily symmetry after breast cancer, which can best be achieved through bilateral reconstruction or no reconstruction, drives interest in contralateral prophylactic mastectomy. The goal of this article is not to suggest that all women who want contralateral prophylactic mastectomy should have the surgery. In some cases, it is not advisable. But many “average-risk” women with unilateral cancer have good reasons for wanting contralateral prophylactic mastectomy, and we believe their right to choose it should be protected.
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Bafile, A., and M. Mascio. "Subcoutaneous mastectomy versus submuscular mastectomy." Breast 44 (March 2019): S111. http://dx.doi.org/10.1016/s0960-9776(19)30377-7.
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Varela, Ana Inêz Severo, Luciana Martins da Rosa, Natália Sebold, Ana Gabriela Laverde, Amarildo Maçaneiro, and Alacoque Lorenzini Erdmann. "COMPROMETIMENTO DA SEXUALIDADE DE MULHERES COM CÂNCER DE MAMA." Enfermagem em Foco 8, no. 1 (April 7, 2017): 67. http://dx.doi.org/10.21675/2357-707x.2017.v8.n1.764.
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Objetivo: identificar os obstáculos relacionados à sexualidade e à vida sexual de mulheres com câncer de mama. Metodologia: pesquisa descritiva, que incluiu dez mulheres submetidas à mastectomia ou quandrantectomia residentes no município de Florianópolis, selecionadas pelo método bola de neve. Dados obtidos por entrevistas semiestruturadas, realizadas entre março e maio de 2014, submetidos à análise de conteúdo e sustentados teoricamente por estudos afins. Resultados: os obstáculos encontrados envolvem o enfrentamento familiar e pessoal comprometidos e a alteração sexual e ginecológica. Conclusão: apesar do avanço científico e tecnológico, permanece a necessidade de cuidado integral e individualizado à mulher, aos companheiros e aos familiares.Descritores: Sexualidade, Neoplasias da mama, Mastectomia, Enfermagem.COMMITMENT TO SEXUALITY OF WOMEN WITH BREAST CANCERObjective: Identify obstacles related to sexuality and sexual life of women with breast cancer. Methodology: descriptive study, which included ten women undergoing mastectomy or quandrantectomia, residents in Florianopolis, selected by snowball method. Data from semistructured interviews, conducted between March and May 2014 and submitted to content analysis and theoretically supported by related studies. Results: The obstacles encountered includes confrontation of family and personal commitment and sexual and gynecological change. Conclusion: Despite the scientific and technological advances remain the need for comprehensive care and individualized to women, to companion and family.Descriptors: Sexuality, Breast neoplasms, Mastectomy, Nursing.COMPROMISO DE LA SEXUALIDAD DE LAS MUJERES CON CÁNCER DE MAMAObjetivo: Identificar los obstáculos relacionados con la sexualidad y la vida sexual de las mujeres con cáncer de mama. Metodología: estudio descriptivo, que incluía diez mujeres sometidas a mastectomía o quandrantectomia, residentes en Florianópolis, seleccionados por el método bola de nieve. Los datos recogidos por entrevistas semi-estructuradas, entre marzo y mayo de 2014, sometido a análisis de contenido y, en teoría apoyada por estudios relacionados. Resultados: Los obstáculos encontrados implican hacer frente familia y la evolución sexual y ginecológica personal y comprometido. Conclusión: A pesar de los avances científicos y tecnológicos continúa la necesidad de una atención integral e individualizada a las mujeres, compañeros y familiares.Descriptores: Sexualidad, Neoplasias de la mama, Mastectomía, Enfermería.
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Gunn, S. W. A. "Mastectomy." World Journal of Surgery 22, no. 5 (May 1998): 425–26. http://dx.doi.org/10.1007/bf03356098.
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Singer, Sarah. "Mastectomy." JAMA: The Journal of the American Medical Association 270, no. 14 (October 13, 1993): 1754. http://dx.doi.org/10.1001/jama.1993.03510140116048.
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Souza, Michelle Freitas de, and Fatima Helena do Espírito Santo. "Tecnologias educativas como orientação em pós operatório de mastectomia." Revista Recien - Revista Científica de Enfermagem 12, no. 40 (December 19, 2022): 185–93. http://dx.doi.org/10.24276/rrecien2022.12.40.185-193.
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Caracterizar a produção cientifica acerca das tecnologias educativas nos cuidados de pós operatório de mastectomia. Revisão integrativa de literatura que tem como modo de pesquisa que concede a busca, análise crítica e a síntese das evidências acessíveis acerca de um assunto a ser investigado em que, o desfecho é a compreensão da temática investigada. Evidenciou-se que o uso das tecnologias educativas na saúde seja por cartilhas, manuais, formulários e vídeo são formas de transmissão do conhecimento e informações que visam, orientar, interagir e divulgar conteúdos que contribuam na disseminação do conhecimento. As tecnologias educativas estão cada vez mais sendo utilizadas por profissionais de saúde, principalmente, pelos enfermeiros, porque através do ensino e aprendizagem é possível transmitir e difundir o conhecimento, facilitando a comunicação, compreensão das orientações de cuidado e autocuidado com intuito estimular a autogestão do cuidado do paciente.
Descritores: Tecnologia Educacional, Cuidados Pós-Operatórios, Mastectomia.
Educational technologies as guidance in post-mastectomy surgery
Abstract: To characterize the scientific production on educational technologies in post-mastectomy care. An integrative literature review that has as a research mode that grants the search, critical analysis and synthesis of accessible evidence about a subject to be investigated in which, the outcome is the understanding of the investigated theme. It was evidenced that the use of educational technologies in health, whether through booklets, manuals, forms and video, are ways of transmitting knowledge and information that aim to guide, interact and disseminate content that contributes to the dissemination of knowledge. Educational technologies are increasingly being used by health professionals, especially nurses, because through teaching and learning it is possible to transmit and disseminate knowledge, facilitating communication, understanding of care and self-care guidelines in order to stimulate self-management of the patient care.
Descriptors: Educational Technology, Postoperative Care, Mastectomy.
Tecnologías educativas como guía en la cirugía pos mastectomía
Resumen: Caracterizar la producción científica sobre tecnologías educativas en la atención posmastectomía. Revisión integradora de literatura que tiene como modo de investigación que otorga la búsqueda, análisis crítico y síntesis de evidencia accesible sobre un tema a investigar en el que el resultado es la comprensión del tema investigado. Se evidenció que el uso de tecnologías educativas en salud, ya sea a través de cartillas, manuales, formularios y videos, son formas de transmisión de conocimientos e informaciones que tienen como objetivo orientar, interactuar y difundir contenidos que contribuyan a la difusión del conocimiento. Las tecnologías educativas están siendo cada vez más utilizadas por los profesionales de la salud, principalmente por los enfermeros, pues a través de la enseñanza y el aprendizaje es posible transmitir y difundir conocimientos, facilitando la comunicación, la comprensión de los cuidados y las pautas de autocuidado con el fin de estimular la autogestión del cuidado del paciente.
Descriptores: Tecnología Educacional, Cuidados Posoperatorios, Mastectomía.
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Boyd, Carter J., Gaines Blasdel, William J. Rifkin, Amber A. Guth, Deborah M. Axelrod, and Rachel Bluebond-Langner. "Gender-affirming Mastectomy with Concurrent Oncologic Mastectomy." Plastic and Reconstructive Surgery - Global Open 10, no. 2 (February 2022): e4092. http://dx.doi.org/10.1097/gox.0000000000004092.
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Chagpar, Anees B. "Prophylactic Bilateral Mastectomy and Contralateral Prophylactic Mastectomy." Surgical Oncology Clinics of North America 23, no. 3 (July 2014): 423–30. http://dx.doi.org/10.1016/j.soc.2014.03.008.
Full textDissertations / Theses on the topic "Mastectomy"
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Андрющенко, Володимир Вікторович, Владимир Викторович Андрющенко, and Volodymyr Viktorovych Andriushchenko. "Breast reconstruction following mastectomy." Thesis, Вид-во СумДУ, 2006. http://essuir.sumdu.edu.ua/handle/123456789/7598.
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Stroppa, Ana Elisa Zuliani. "Atividade eletromiografica da porção superior do musculo trapezio em mulheres mastectomizadas com sintomas depressivos." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/317513.
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Orientador: Evanisi Teresa PalomariDissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Biologia
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Resumo: A mastectomia radical é uma técnica cirúrgica muito agressiva, que causam sensações de estresse, gerando ansiedade e depressão. Esses fatores são responsáveis por desequilíbrios no organismo, como mialgias, retardo motor e fadiga. O objetivo deste trabalho foi investigar variações na atividade eletromiográfica da porção superior do músculo trapézio em mulheres mastectomizadas comparando com a interferência da sintomatologia depressiva e dominância dos MMSS. O estudo foi realizado em 23 mulheres com mastectomia radical do tipo Patey e Madden ou total simples e em 9 mulheres saudáveis portadoras ou não de sintomatologia de depressão, quantificada pelo Inventário de Depressão de Beck. Para a aquisição dos dados utilizou-se um eletromiógrafo, composto de 4 canais, com canais compostos por filtros com banda de freqüência entre 20 (FPA) e 500 Hz (FPB), placa de conversão AIO, de 12 bits de resolução e freqüência de amostragem de 1000 Hz, eletrodos bipolares ativos de Ag-Ag CI, conectados a eletrodos auto adesivos e eletrodo terra. Para análise estatística foram utilizados modelos de regressão linear. Os resultados não foram estatisticamente significantes, entretanto, houve tendências à diminuição nos valores de mediana da amplitude do sinal em RMS para o grupo mastectomizado (GM), quando comparado ao grupo controle (GC), ambos depressivo, o que sugere que a dor no local da cirurgia reduz a atividade; notou-se também, aumento desta amplitude, para o (GM) lado com cirurgia, quando comparado ao lado sem cirurgia, exceto para o (GM) sem sintomatologia depressiva, sugerindo que a postura antálgica aumente a atividade mioelétrica; para o fator psicológico e a dominância dos membros não se observou nem mesmo tendências
Abstract: The radical mastectomy is one very agrgressive technique surgical, that they cause sensations de stress, generating anxiety and depression. These factors cause some disorders in the organism, like a muscle pain, slow motor response and fatigue. This study was carried out with women who have undergone mastectomies in order to investigate possible changes in electromyographic activity of the upper trapezius muscle and compare the influence on symptoms of depression. The present study assessed bilaterally in 23 women underwent to Simple or Patey and Madden's radical mastectomies and in 9 healthy women with or without depression's symptoms, quantified by Beck Depression Inventory. The clinical records were picked up by a four-channel electromyographer. The channels were composed of filters with a frequency range between 20 (FPA) and 500 Hz (FPB), A/O conversion plate with 12 bits resolution and sampling frequency of 1000 Hz and active bipolar electrodos de Ag-Ag CI connected the adhesive electrodes and reference electrode. For statistical analysis a model of linear regression was used. Was noted tendencies in the depressive group~ thought the data were not statistically significant. It was observed the CDG had the higher median, which suggested that the pain on the site of the surgery reduces the EMG activity. On the other hand, in the MDG side with surgery, it was observed an increase in the EMG activity in comparison with the si de without surgery, which suggests that antalgic posture increases the myoelectric activity. For non-depression group, the data did not permit any conclusive data, and, in none of the cases, the dominance interfered in the myoelectric activity. Nevertheless, the data obtained was not statiscally sígnificant
Mestrado
Anatomia
Mestre em Biologia Celular e Estrutural
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Lemos, Talita Mayara Rossi [UNESP]. "Qualidade de vida em mulheres com câncer de mama submetidas à cirurgia conservadora e mastectomia." Universidade Estadual Paulista (UNESP), 2016. http://hdl.handle.net/11449/138184.
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Estudo descritivo, correlacional, com abordagem quantitativa e delineamento transversal, cujo objetivo geral foi analisar a qualidade de vida em mulheres com diagnóstico de câncer de mama, submetidas à cirurgia conservadora e à mastectomia. Os objetivos específicos, propuseram levantar as características sociodemográficas, clínicas, potenciais de adoecimento e fatores de proteção para o câncer de mama, em mulheres submetidas à cirurgia conservadora e à mastectomia, comparar as médias dos escores dos questionários European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 e BR-23, das pacientes do grupo da cirurgia conservadora e da mastectomia, e correlacionar as escalas funcionais e de sintomas dos questionários EORTC em ambos os grupos, com a escala do estado global de saúde e qualidade de vida (QLQ C-30). A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa, da Faculdade de Medicina de Botucatu, parecer nº 607.171. A coleta dos dados ocorreu de maio de 2014 a maio de 2015, e a amostra total foi de 106 mulheres, sendo 66 submetidas à cirurgia conservadora, e 40 à mastectomia, acompanhadas pela equipe de mastologia do ambulatório de Ginecologia do Hospital das Clínicas de Botucatu. Para a captação dos dados foram utilizados: formulário destinado à caracterização da população, e questionários EORTC QLQ C-30 e BR-23. Pôde-se verificar que na escala funcional dos questionários EORTC, as mulheres submetidas à cirurgia conservadora apresentaram, na maioria dos domínios, médias maiores que o grupo da mastectomia. Entretanto, apenas o domínio imagem corporal apresentou-se significativo. Na escala de sintomas de ambos os questionários, o grupo da cirurgia conservadora apresentou menores médias nos domínios: dor, dispneia, insônia, constipação, dificuldade financeira e sintomas do braço e da mama, enquanto o grupo da mastectomia apresentou menores médias, nos domínios: fadiga, náusea, vômito, perda de apetite, diarreia e eventos adversos da terapia sistêmica, sendo apenas os domínios vômito e insônia significativos. Na escala do estado global de saúde e qualidade de vida, a maior média foi apresentada no grupo das mulheres submetidas à mastectomia. Quanto à correlação dos domínios dos questionários EORTC, das pacientes submetidas à cirurgia conservadora com a escala do estado global de saúde e qualidade de vida, verificou-se que os domínios que apresentaram correlação significativa foram: função física, desempenho de papéis, função emocional, função social, fadiga, dor, insônia, perda de apetite, diarreia, dificuldade financeira, eventos adversos da terapia sistêmica e sintomas do braço. Já a correlação dos domínios de ambos os questionários, no grupo das pacientes submetidas à mastectomia, com a escala de estado global de saúde e qualidade de vida, que apresentaram-se significativos foram: função emocional, insônia, dificuldade financeira e imagem corporal. Concluiu-se que, apesar do grupo da cirurgia conservadora ter apresentado médias superiores nos escores da maioria dos domínios de ambos os questionários EORTC, o grupo da mastectomia apresentou maior média na escala do estado global de saúde e qualidade de vida, demonstrando que as mulheres submetidas à mastectomia, apresentaram melhor qualidade de vida e de saúde global, após cirurgia, comparadas às submetidas à cirurgia conservadora.
This is a correlational descriptive study with a quantitative approach and cross-sectional design whose main objective is to analyze the quality of life in women with breast cancer undergoing breast-conserving surgery and mastectomy. Among the specific objectives, it was intended to raise elements such as the sociodemographic and clinical characteristics, the potential illness, and the protective factors for breast cancer in women undergoing breast-conserving surgery and mastectomy; to compare the mean scores of the European Organization for Research and Treatment of Cancer (EORTC) questionnaires QLQ-C30 and BR-23 of patients who underwent breast-conserving surgery and mastectomy; and also to correlate the functional and symptom scales of the EORTC questionnaires in both groups with the global health and quality-of-life scale (QLQ-C30). The Research Ethics Committee of Botucatu Medical School approved to perform the research with verdict No. 607.171. The data collection period was from May 2014 to May 2015, and the total sample was of 106 women. From these patients, 66 underwent breast-conserving surgery and 40 underwent mastectomy, and they were followed up by the mastology team of the Gynecology Outpatient Service of Botucatu University Hospital. Among the main results, it was verified that, in the functional scale of the EORTC questionnaires, the patients who underwent breast-conserving surgery had averages higher than those of the mastectomy group in most domains. However, only the body image domain was significant. In the symptom scale of both questionnaires, the breast-conserving surgery group had lower averages in these domains: pain, dyspnea, insomnia, constipation, financial difficulties, and arm and breast symptoms. On the other hand, the mastectomy group had lower averages in these domains: fatigue, nausea, vomiting, loss of appetite, diarrhea, and side effects of systemic therapy. The only significant domains were vomiting and insomnia. Regarding the global health and quality-of-life scale, it was found that the highest average was shown in the group of patients who underwent mastectomy. As for the correlation between the domains of the EORTC questionnaires of patients undergoing conservative surgery with the global health and quality-of-life scale, it was found that the domains showing statistically significant correlations were: physical function, role playing, emotional function, social function, fatigue, pain, insomnia, loss of appetite, diarrhea, financial difficulties, adverse events of the systemic therapy, and arm symptoms. In the correlation of the domains of both questionnaires in the group of patients undergoing mastectomy with the global health and quality-of-life scale, the significant ones were emotional function, insomnia, financial difficulties, and body image. The conclusion was that, despite the fact that the breast-conserving surgery group presented higher averages in the scores of most domains of both EORTC questionnaires, the mastectomy group had a higher average on the global health and quality-of-life scale, which demonstrates that the patients who underwent mastectomy had better quality of life and global health after the surgery compared to those who underwent breast-conserving surgery.
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Lemos, Talita Mayara Rossi. "Qualidade de vida em mulheres com câncer de mama submetidas à cirurgia conservadora e mastectomia." Botucatu, 2016. http://hdl.handle.net/11449/138184.
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Orientador: Maria de Lourdes da Silva Marques FerreiraResumo: Estudo descritivo, correlacional, com abordagem quantitativa e delineamento transversal, cujo objetivo geral foi analisar a qualidade de vida em mulheres com diagnóstico de câncer de mama, submetidas à cirurgia conservadora e à mastectomia. Os objetivos específicos, propuseram levantar as características sociodemográficas, clínicas, potenciais de adoecimento e fatores de proteção para o câncer de mama, em mulheres submetidas à cirurgia conservadora e à mastectomia, comparar as médias dos escores dos questionários European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 e BR-23, das pacientes do grupo da cirurgia conservadora e da mastectomia, e correlacionar as escalas funcionais e de sintomas dos questionários EORTC em ambos os grupos, com a escala do estado global de saúde e qualidade de vida (QLQ C-30). A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa, da Faculdade de Medicina de Botucatu, parecer nº 607.171. A coleta dos dados ocorreu de maio de 2014 a maio de 2015, e a amostra total foi de 106 mulheres, sendo 66 submetidas à cirurgia conservadora, e 40 à mastectomia, acompanhadas pela equipe de mastologia do ambulatório de Ginecologia do Hospital das Clínicas de Botucatu. Para a captação dos dados foram utilizados: formulário destinado à caracterização da população, e questionários EORTC QLQ C-30 e BR-23. Pôde-se verificar que na escala funcional dos questionários EORTC, as mulheres submetidas à cirurgia conservadora apresentaram, na maioria dos... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: This is a correlational descriptive study with a quantitative approach and cross-sectional design whose main objective is to analyze the quality of life in women with breast cancer undergoing breast-conserving surgery and mastectomy. Among the specific objectives, it was intended to raise elements such as the sociodemographic and clinical characteristics, the potential illness, and the protective factors for breast cancer in women undergoing breast-conserving surgery and mastectomy; to compare the mean scores of the European Organization for Research and Treatment of Cancer (EORTC) questionnaires QLQ-C30 and BR-23 of patients who underwent breast-conserving surgery and mastectomy; and also to correlate the functional and symptom scales of the EORTC questionnaires in both groups with the global health and quality-of-life scale (QLQ-C30). The Research Ethics Committee of Botucatu Medical School approved to perform the research with verdict No. 607.171. The data collection period was from May 2014 to May 2015, and the total sample was of 106 women. From these patients, 66 underwent breast-conserving surgery and 40 underwent mastectomy, and they were followed up by the mastology team of the Gynecology Outpatient Service of Botucatu University Hospital. Among the main results, it was verified that, in the functional scale of the EORTC questionnaires, the patients who underwent breast-conserving surgery had averages higher than those of the mastectomy group in most domains. However... (Complete abstract click electronic access below)
Mestre
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Opara, Esther. "Predictors of Mastectomy in Male Breast Cancer." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3956.
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Male breast cancer (MBC) is rare, and research on the predictors of MBC has been limited because of inadequate funding in and outside of the United States. One goal of this study was to eradicate the stereotyping of breast cancer as a female disease. The emergence of medical technology and education to benefit the public will help to ensure greater health awareness at the individual, community, and global levels. The purpose of this study was to understand the influence of the predictors of age; race (Black, White, and Other); and grade of cancer (I, II, or III) on the outcome of mastectomy in MBC. The study was guided by the social determinants of health model. A quantitative approach was used to analyze archival data from 2011 to 2013 in the Surveillance Epidemiology and End Results (SEER) database using SPSS v.23. Data from 427 MBC patients ages 18 years and older from the United States comprised the sample. The SEER data were analyzed using logistic regression analysis. Results showed that of the 427 cases of MBC that were analyzed, 55 had a diagnosis of Grade I, 190 had a diagnosis of Grade II, and 182 had a diagnosis of Grade III. For 3 years, 116 men had undergone mastectomy. Grade I cancer, Grade II cancer, and Grade III cancer were statistically insignificant predictors of mastectomy; however, age, race was a statistically significant predictor of mastectomy among White men with MBC. The results will contribute to social change initiatives by educating the public about the predictors of mastectomy in MBC patients. The results also will increase the current knowledge base by informing the public, clinical professionals, and patients about the relationship of the predictors of age; race; and grade of cancer (I, II, or III) on the outcome of mastectomy in MBC.
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Gonçalves, Maria Lúcia dos Ramos. "Comparação entre dois protocolos analgésicos em cadelas submetidas a mastectomia." Master's thesis, Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária, 2011. http://hdl.handle.net/10400.5/3751.
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Dissertação de Mestrado Integrado em Medicina VeterináriaA maior importância dada ao tratamento analgésico na medicina veterinária nos últimos anos tem aumentado o interesse e preocupações sobre a eficácia, os efeitos adversos sistémicos, custo e o uso abusivo dos diferentes agentes analgésico. O presente estudo teve como objectivo comparar dois protocolos analgésicos em cadelas submetidas a mastectomia unilateral (n=20). As variáveis em estudo para a avaliação do grau de dor foram os valores da escala de dor da universidade de Melbourne (EDUM) em T0 (pré-cirúrgico), T1 (1ª h pós-cx), T2 (2ªh pós-cx), T3 (3ª h pós-cx), T4(4ªh pós-cx) e T48 (48ªh pós-cx) e o doseamento de cortisol sérico em T0 e T1. No grupo controlo (grupo B) os animais (n=11) foram pré-medicados com buprenorfina IM (0,015mg/kg) e no grupo estudo (grupo BL) os animais (n=9) foram também submetidos a pré-medicação com buprenorfina IM (0,015mg/kg), sendo realizada no pós-operatório analgesia local através da infiltração de lidocaína (4mg/kg) na zona da sutura. A análise estatística do presente estudo foi realizada com o programa estatístico informático Graph Pad InStat utilizando o teste t Welch's, análise de variância “One way ANOVA”, teste de comparações múltiplas de Tukey-Kramer e o coeficiente de correlação Pearson (r). Os resultados são apresentados como média ± desvio-padrão. No grupo B a média na pontuação obtida pela EDUM foi de 3,73±1,35 em T0; de 7,91±4,64 em T1; em T2 foi de 7,55±4,27; 8,09 ± 3,91 em T3; 7,91±3,59 em T4 e finalmente em T48 foi de 5,22 ± 2,49. No grupo BL em T0 a média foi de 4 ± 1,22; de 6,22 ± 1,92 em T1; em T2 a pontuação média foi de 6,22±2,33; em T3 registou-se um valor médio de 5,78±2,11; 6,33±2,12 em T4 e finalmente em T48 foi de 4 ± 1,22. Apesar do valor médio do grupo BL em todos os períodos de observação, excepto no T48, ser menor do que no grupo B, não se observaram diferenças estatisticamente significativas entre os dois grupos (teste t Welch‟s ; p>0,05 ). No grupo B o cortisol sérico aumentou significativamente de T0 (4.36±2.03) para T1 (7.36±3.42; teste t para dados emparelhados, p= 0.0055), enquanto que no grupo BL o cortisol de T0 (6.84±6.4) para T1 (5.3±3.81) diminuiu, não sendo esta diminuição significativa (teste t para dados emparelhados, p= 0.4552). De acordo com os resultados do doseamento do cortisol, a infiltração local de lidocaína na zona da sutura no pós-operatório imediato, é significativamente benéfica em cadelas submetidas a mastectomia. Porém, recorrendo a avaliação da dor pela EDUM esse benefício não é evidente.
ABSTRACT - The increased importance given to analgesic treatment in veterinary medicine recently, has triggered more interest and concerns about effectiveness, adverse systemic effects, cost and abusive use of the different analgesic agents. This study aimed to compare two analgesic protocols in dogs undergoing unilateral mastectomy (n=20). The variables in the study to assess the degree of pain were the values of the pain scale from the University of Melbourne (EDUM) at T0 (preoperative), T1 (1hour post-cx), T2 (2h post-cx), T3 (3h post-cx), T4 (4h post-cx) and T48 (48h post-cx) and the measurement of serum cortisol levels at T0 and T1. In control group (B) the animals (n=11) were pre-medicated with buprenorphine IM (0,015mg/kg). In the study group (BL) the animals (n=9) were also pre-medicated with buprenorphine IM (0,015mg/kg), however, during the post-operative period, this group was submitted to local infiltration of lidocaine (4mg/kg) in the suture area. Statistical analysis of the present study was performed with statistical program Graph Pad InStat using Welch's t test, analysis of variance "One way ANOVA", test for multiple comparisons Tukey-Kramer and Pearson(r)‟s correlation coefficients. The results are presented as mean ± standard deviation. In B group the mean score obtained by EDUM was 3.73±1.35 at T0, 7.91±4.64 at T1, T2 was 7.55±4.27, 8.09±3.91 at T3, 7.91±3.59 at T4 and finally T48 was 5.22±2.49. In BL group at T0 the mean was 4±1.22, from 6.22±1.92 at T1, at T2 the mean score was 6.22±2.33, at T3 there was an mean of 5.78±2.11, 6.33±2.12 at T4 and finally T48 was 4±1.22. Although the mean value in the BL group at all periods of observation, except for T48, was lower than In the B group, there were no statistically significant differences between the two groups (Welch's t test, p> 0.05). In B group serum cortisol increased significantly from T0 (4.36±2.03) to T1 (7.86±3.42; t test for paired data, p = 0.0055), while in the BL group cortisol from T0 (6.84±6.4) to T1 (5.3±3.81) decreased but not significantly (t test for paired data, p = 0.4552). According to the results of the serum cortisol levels, the local infiltration of lidocaine in the suture area in bitches undergoing mastectomy, in the immediate postoperative period, is significantly beneficial. However, using pain assessment by EDUM this benefit is not evident.
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Wright, Lauren. "Women's experience of decision-making regarding prophylactic mastectomy." Thesis, University of Leicester, 2017. http://hdl.handle.net/2381/40400.
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Literature review: A systematic review of the existing literature was conducted, eliciting ten studies which met the inclusion criteria examining psychosocial predictors of prophylactic mastectomy in women with a confirmed BRCA gene alteration. Narrative synthesis identified that results coalesced around temporal, familial and other factors including conceptualisation of cancer and perceived risk. The relative scarcity of published research, and an accompanying dominant biomedical focus, highlight that further exploration of psychosocially predictive factors, particularly those which are modifiable, is needed. Research report: Interpretative Phenomenological Analysis (IPA) was utilised to explore five women’s experience and sense-making of their decision to opt for prophylactic mastectomy, and how they experienced the period between opting for preventative surgery and waiting for this to occur. Four superordinate themes were identified: ‘It’s a no-brainer’ illuminated how women approached and made sense of their decision; ‘good breast/bad breast’ reflected women’s experience of simultaneously holding conflicting views towards their breasts; ‘big B on my shoulder’ highlighted worry held in relation to geneticised identity; and ‘the preciousness of life’ illustrated the impact of familial and existential experience. Findings emphasised the importance of clinicians remaining mindful to experiential, emotional and systemic motivations for surgery and to recognise and support women with the potential tension they may still hold as they debate and navigate prophylactic mastectomy. Critical appraisal: A reflective account is presented to support the consolidation of personal and professional learning points and reflections made during the research process.
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Flannagan, Caroline M. "Decision support intervention for reconstructive surgery following mastectomy." Thesis, Ulster University, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.697542.
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Background Post mastectomy breast reconstruction is an elective procedure offered to women as part of surgical treatment for breast cancer. Choosing to have a reconstruction, or not, and when, is a timely and challenging decision for women in an emotive environment. Decision support interventions (DSIs) have proved beneficial in enabling decision making with patients and clinicians in similar situations of clinical equipoise. The goal of the DSI is to facilitate a decision that is reflective of the patient's own priorities and preferences. However, the implementation of DSIs into routine clinical practice has proved challenging. The thesis reports on the development of a post mastectomy breast reconstruction DSI and on the feasibility of implementing a DSI in the clinical environment. Methods Women's decision making about breast reconstruction was examined through a literature review and a thematic analysis of interviews with breast cancer survivors. A collaborative development framework and iterative process were utilised to design the breast reconstruction DSI. The breast reconstruction DSI was introduced into the clinical environment in a feasibility study to identify potential barriers and facilitators to implementation. A case study approach, including the decisional conflict scale and qualitative methods, examined the perceptions and experience of the patients and clinicians using the DSI in a breast cancer clinic. Results The Option Grid DSI was published on-line as part of the Option Grid Collaborative. In feasibility testing, its flexibility and accessibility were positive features in terms of its implementation. The content and format facilitated the comparison of options. The timing of when it was introduced impacted its effect on patient decision making. Conclusions The support of local stakeholders was significant in the development of the DSI. The Option Grid DSI can be integrated into routine clinical practice, and gave some consultations more structure. Patient participants in the feasibility study found it constructive in facilitating their decision making. Further testing to explore the timing of the DSI and its impact on a wider audience is warranted.
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Romana, Ana Marta Lourinho. "Estudo preliminar da variação dos níveis de cortisol em doentes da espécie Canis familiaris sujeitos a mastectomia por doença oncológica da mama." Master's thesis, Universidade de Lisboa. Faculdade de Medicina Veterinária, 2016. http://hdl.handle.net/10400.5/11557.
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Dissertação de Mestrado Integrado em Medicina VeterináriaA esperança média de vida dos animais domésticos tem sido uma variável crescente à qual se junta um aumento do aparecimento de doenças associadas à geriatria, nas quais se destaca a doença oncológica da mama. Em Medicina Humana são já diversos os estudos que relacionam a concentração de cortisol com o comportamento dos tumores mamários. O presente estudo foi realizado numa amostra de 15 indivíduos da espécie Canis familiaris (N=15), do género feminino, com diagnóstico de tumor de mama, e sujeitos a mastectomia total unilateral. Teve como objetivos: 1) caracterizar a variação das concentrações de cortisol num período pré- e pós-cirúrgico; 2) estudar a relação entre as concentrações de cortisol e a sua variação com os parâmetros: idade, peso vivo, localização das massas tumorais, número de mamas envolvidas na doença oncológica, estadiamento clínico da doença, presença de doenças de base, e estado teriogenológico da fêmea; e ainda 3) estudar a relação entre a idade e o peso vivo das doentes com os parâmetros: localização das massas tumorais, número de mamas envolvidas na doença oncológica e estadiamento clínico da doença. Cada doente foi sujeita a uma colheita biológica de sangue periférico para quantificação dos níveis de cortisol, em 2 tempos diferentes T0 (imediatamente pré-cirurgia) e T1 (10 dias após a cirurgia). Os resultados obtidos revelaram que existiu uma diminuição na média de valores de cortisol de T0 para T1, o que pode ser explicado pela remoção da massa tumoral, e que de todos os parâmetros estudados apenas o peso tem uma relação estatisticamente significativa com os níveis de cortisol, provavelmente devido ao efeito direto dos glucocorticoides no tecido adiposo.
ABSTRACT - PRELIMINARY STUDY OF CORTISOL LEVEL VARIATIONS IN CANIS FAMILIARIS PATIENTS SUBMITTED TO MASTECTOMY DUE TO MAMMARY TUMOUR DISEASE - The lifespan of domestic animals has been an increasing variable. Along with that, geriatric diseases have raised, from which breast cancer is highlighted. In Human Medicine, several studies correlate the cortisol level with the behavior of breast tumors. The present study used a sample of 15 bitches (N=15), previously diagnosed with breast tumor and submitted to a unilateral total mastectomy, and aimed 1) to characterize the cortisol levels variation between the pre and post surgical period; 2) to study the relationship between cortisol levels variation with parameters such as age, body weight, mammary location of the tumors, the location of the affected mammary gland, the clinical stage of the disease, the presence of underlying diseases and the bitch theriogenological state; and 3) to investigate the relationship between the age and body weight of patients and the parameters mammary location of the tumors, the location of the affected mammary gland, the clinical stage of the disease. A sample of peripheral blood was collected from each patient in order to quantify the cortisol levels in two different time points T0 (immediately before surgery) and T1 (10 days after surgery). The obtained results revealed that cortisol levels decrease from T0 to T1, which can be explained by the tumor excision. From all the studied parameters, only the body weight showed statistically significant differences with the cortisol levels, probably due to a direct effect of glucocorticoids on the fat tissue.
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Kim, Janet Heejung. "Cyclooxygenase-2 Expression in Post-Mastectomy Chest Wall Relapse." Yale University, 2006. http://ymtdl.med.yale.edu/theses/available/etd-06282006-104942/.
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The purpose of this study was to assess the prognostic significance and clinical correlations of cyclooxgenase-2 expression (COX) in a cohort of patients treated with radiation (RT) for post-mastectomy chest wall relapse (PMCWR). Between 1975 and 1999, 113 patients were treated for isolated PMCWR. All patients were treated with biopsy and/or excision of the CWR followed by RT. Median follow-up was 10 years. All clinical data including demographics, pathology, staging, receptor status, HER-2/neu status, and adjuvant therapy were entered into a computerized database. Paraffin-embedded CWR specimens were retrieved from 42 patients, of which 38 were evaluated, created into a tissue microarray, stained by immunohistochemical methods for COX, and graded 0-3+. A score of 2-3+ was considered positive. Overall survival from original diagnosis for the entire cohort was 44% at 10 years. Survival rate after chest wall recurrence was 28% at 10 years. The distant metastasis-free survival rate after CWR was 40% at 10 years. Local-regional control of disease was achieved in 79% at 10 years after CWR. COX was considered positive in 13 of 38 cases. COX was inversely correlated with ER (p= .045) and PR (p = .028), and positively correlated with HER-2/neu (p =.003). COX was also associated with a shorter time to PMCWR. The distant metastasis-free rate for COX negative patients was 70% at 10 years, compared with 31% at 10 years for COX-2 positive patients (p = 0.029). COX positive had a poorer local-regional progression-free rate of 19% at 10 years, compared with 81% at 10 years for COX negative (p = 0.003). Outcome following RT for PMCWR is relatively poor. Positive COX correlated with other markers of poor outcome including a shorter time to local relapse, negative ER/PR and positive Her-2/neu status. Positive COX correlated with higher distant metastasis and lower local-regional control of disease. If confirmed with larger studies, these data have implications with respect to the concurrent use of COX-2 inhibitors and radiation for PMCWR.
Books on the topic "Mastectomy"
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Ferrari, Alberta, Adele Sgarella, and Sandro Zonta, eds. Nipple Sparing Mastectomy. Milano: Springer Milan, 2013. http://dx.doi.org/10.1007/978-88-470-5334-2.
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Harness, Jay K., and Shawna C. Willey, eds. Operative Approaches to Nipple-Sparing Mastectomy. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43259-5.
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Benedet, Rosalind Dolores. After mastectomy: Healing physically and emotionally. Omaha, Neb: Addicus Books, 2003.
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Tait, Ann. The mastectomy experience: Two interviews examined. Manchester: Department of Sociology, University of Manchester, 1986.
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National Cancer Institute (U.S.), ed. Mastectomy, a treatment for breast cancer. [Bethesda, MD]: National Cancer Institute, 1990.
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Ralphs, David. Color atlas of modified radical mastectomy. Oradell, N.J: Medical Economics Books, 1985.
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Chiu, Jennifer. Complications in previously irradiated salvage mastectomy patients. [New Haven, Conn: s.n.], 1999.
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Webster, David J. T. A colour atlas of mastectomy with immediate reconstruction. London: Wolfe Medical Publications, 1986.
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Baker, Amy Curran. Now what?: A guide to recovery after mastectomy. New York, NY: Demos Medical Pub., 2012.
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S, Tobias Jeffrey, and Peckham M. J, eds. Primary management of breast cancer: Alternatives to mastectomy. London: E. Arnold, 1985.
Find full textBook chapters on the topic "Mastectomy"
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Arbuckle, Jacquelynn D., and Lee G. Wilke. "Mastectomy." In Illustrative Handbook of General Surgery, 107–14. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-24557-7_10.
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Macdougall, M. "Mastectomy." In Encyclopedia of Women’s Health, 775–77. Boston, MA: Springer US, 2004. http://dx.doi.org/10.1007/978-0-306-48113-0_259.
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Bricout, Nathalie. "Mastectomy." In Breast surgery, 59–65. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_8.
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Fansa, Hisham, and Christoph Heitmann. "Mastectomy." In Breast Reconstruction with Autologous Tissue, 39–47. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-95468-4_7.
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Anagnostopoulos, Fotios. "Mastectomy." In Encyclopedia of Quality of Life and Well-Being Research, 3855–59. Dordrecht: Springer Netherlands, 2014. http://dx.doi.org/10.1007/978-94-007-0753-5_1740.
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Tzeng, Ching-Wei D., J. Harrison Howard, and Kirby I. Bland. "Mastectomy." In Breast Surgical Techniques and Interdisciplinary Management, 409–22. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-6076-4_35.
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Anagnostopoulos, Fotios. "Mastectomy." In Encyclopedia of Quality of Life and Well-Being Research, 4166–70. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17299-1_1740.
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Fansa, Hisham. "Mastectomy." In Breast surgery, 45–54. Berlin, Heidelberg: Springer Berlin Heidelberg, 2023. http://dx.doi.org/10.1007/978-3-662-65952-6_7.
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Scott-Conner, Carol E. H. "Modified Radical Mastectomy, Simple (Total) Mastectomy." In Chassin’s Operative Strategy in General Surgery, 840–52. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/978-0-387-22532-6_100.
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Scott-Conner, Carol E. H., and Jameson L. Chassin. "Modified Radical Mastectomy, Simple (Total) Mastectomy." In Chassin's Operative Strategy in General Surgery, 1003–14. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-1393-6_114.
Full textConference papers on the topic "Mastectomy"
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Vevodova, Sarka. "LIFE SATISFACTION OF WOMEN AFTER MASTECTOMY." In 5th SGEM International Multidisciplinary Scientific Conferences on SOCIAL SCIENCES and ARTS SGEM2018. STEF92 Technology, 2018. http://dx.doi.org/10.5593/sgemsocial2018/3.2/s11.026.
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Michaelson, Dawn M. "RecoveryPlus: Post-surgical mastectomy recovery bra." In Bridging the Divide. Iowa State University Digital Press, 2024. http://dx.doi.org/10.31274/itaa.17294.
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Porciuncula, Lígia Maria Teixeira Pereira, Pedro Henrique de Jesus Cerqueira, and Jéssica Moreira Cavalcante Carvalho. "Skin-sparing mini dorsi flap." In Brazilian Breast Cancer Symposium 2023. Mastology, 2023. http://dx.doi.org/10.29289/259453942023v33s1068.
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Objective: The fat-grafted latissimus dorsi muscle flap has become an excellent option for immediate or late post-mastectomy autologous breast reconstruction. The latissimus dorsi flap without skin island can be used in immediate reconstruction after skin- and nipple-sparing mastectomy, as there is no need to replace the skin on the breast. The work presented here describes a new approach of the Mini flap of the dorsal fat graft in the total breast reconstruction after skin- and nipple-sparing mastectomy in patients with small- and medium-sized breasts, eliminating its classic scar from the removal of the island of skin on the side of the thorax. Methodology: Initially, a skin- and nipple-sparing mastectomy is performed through an incision in the lateral portion of the inframammary fold. Then, through the same incision, the latissimus dorsi muscle is identified. The muscle is sectioned at its insertions and transposed to the mastectomy bed. The inferior, medial, and superior portions (tendon) of the muscle are preserved (mini flap). Liposuction is performed on the abdominal wall and/or thighs, and the fat graft is performed in several planes such as a skin flap from the mastectomy, intramuscular in the pectoralis major and in the latissimus dorsi flap. Results: This new method was performed in five cases. The average duration of the total procedure (mastectomy + axillary approach + reconstruction) was 296 min (270–330), the average breast weight was 350 g (205–458), and the average volume of fat grafted was 234 ml (190–270). We had two cases of seroma in the donor area. Conclusion: The lipo-filled skin-sparing mini dorsi flap allows small- and medium-sized breasts to be completely reconstructed with autologous tissue without scarring on the back, without the need to change position, and without the complete removal of the latissimus dorsi muscle.
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Bharath Kiran, P., Madhuri Kurdi, Sushma Sampath, and Raghavendra Bhosale. "Death after Modified Radical Mastectomy: An Enigma?" In ISACON KARNATAKA 2017 33rd Annual Conference of Indian Society of Anaesthesiologists (ISA), Karnataka State Chapter. Indian Society of Anaesthesiologists (ISA), 2017. http://dx.doi.org/10.18311/isacon-karnataka/2017/ep026.
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Kreklau, A., L. Weydandt, S. Briest, S. Stark, and B. Aktas. "Should we perform mastectomy in case of CUP syndrome after risk-reducing mastectomy in patients with germline mutation?" In 39. Jahrestagung der Deutschen Gesellschaft für Senologie. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1688008.
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Sfakianakis, Eleftherios, Foivos Irakleidis, and Peng Tan. "“NO DRAIN” AND DAY-CASE MASTECTOMY AND AXILLARY SURGERY: OUR EXPERIENCE." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2062.
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Background: Seroma formation is the most common complication following breast cancer and axillary surgery, with incidence ranging from 15% to 85%. Delayed wound healing, discomfort, infection, and delay in starting adjuvant therapies are the main complications following seroma formation. Several factors have been considered responsible for seroma; however, its pathogenesis is not yet fully understood. Despite the fact that there is no clear evidence that the use of drain reduces the incidence of seroma formation, closed suction drainage following mastectomy and axillary lymph node clearance remains the standard of practice for most of the breast surgeons in the UK. Patients’ discomfort, wound infection, and prolonged hospital stay are the major drawbacks of drain surgery. Objective: The aim of this study is to present and evaluate our experience in no drain mastectomy combined with axillary surgery. Methodology: Patients who underwent a simple mastectomy and axillary surgery from January 2017 to January 2021 for breast cancer were divided by a single oncoplastic breast surgeon in a tertiary Breast Unit in London, UK, into mastectomy and sentinel lymph node biopsy and axillary clearance subgroups. Parameters such as patients’ demographics, performance status, tumor characteristics, hospital stay, drain status, and complications were evaluated. Mastectomy flaps were dissected using electrocautery, with thoroughly sealing of the lymphatics, and were fixed onto the chest wall with polyglactin 910 sutures, and an axillary cavity was closed by suturing clavipectoral fascia to prevent seroma formation. No drain was used in either subgroup of patients apart from a single case with bleeding disorders. Results: A total of 52 patients (51 females and 1 male) underwent mastectomy and axillary surgery. Of these, 32 patients had axillary clearance (axillary lymph node clearance [ALND]) and 19 had sentinel lymph node biopsy (SLNB). Of the 52 patients, 9 were 60 years old. Performance status (ASA score) was as follows: ASA I: 20 patients, ASA II: 20, ASA III: 10, and ASA IV: 2 patients. A total of 42 patients had day surgery (24 in the ALND and 18 in the SLNB subgroup). The medial number of lymph node retrieval was 2.6 and 13.6 in the SLNB and ALND, respectively. In terms of complications, three patients developed seroma in the early post-op period (two in the ALND and one in the SLNB subgroup), two patients had wound infection treated with antibiotics, and three had hematoma treated conservatively. Conclusion: Despite the lack of clear evidence that drain reduces the incidence of seroma, the use of drain is widely accepted among surgeons when mastectomy is performed with either SLNB or axillary clearance. The data demonstrate that no drain and day-case approach in mastectomy combined with axillary surgery can be safely performed even in patients with axillary clearance, with minimum complication rates. Sealing of the lymphatics with electrocautery combined with the fixation of mastectomy skin flaps on the chest wall with plication sutures and closure of axillary dead space seems to be efficient in seroma prevention.
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Imran, Abdullah-Al-Zubaer, Predrag R. Bakic, and David D. Pokrajac. "Characterization of adipose compartments in mastectomy CT images." In Physics of Medical Imaging, edited by Guang-Hong Chen, Joseph Y. Lo, and Taly Gilat Schmidt. SPIE, 2018. http://dx.doi.org/10.1117/12.2293706.
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D'Agostino, Chiara. "Abstract B117: Body positivity after a double mastectomy." In Abstracts: Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 20-23, 2019; San Francisco, CA. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp19-b117.
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Marques, B., R. De Oliveira, and PR Ferreira. "B418 Mastectomy under thoracic epidural: yes we can!" In ESRA Abstracts, 39th Annual ESRA Congress, 22–25 June 2022. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/rapm-2022-esra.494.
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Petit, J.-Y. "Abstract ES3-2: Indications for nipple sparing mastectomy." In Abstracts: Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium; December 8-12, 2015; San Antonio, TX. American Association for Cancer Research, 2016. http://dx.doi.org/10.1158/1538-7445.sabcs15-es3-2.
Full textReports on the topic "Mastectomy"
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Sutton, Richard. Mastectomy. Touch Surgery Simulations, October 2014. http://dx.doi.org/10.18556/touchsurgery/2014.s0032.
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Patenaude, Andrea. Prophylactic Mastectomy: Impact and Intervention. Fort Belvoir, VA: Defense Technical Information Center, October 2001. http://dx.doi.org/10.21236/ada403454.
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McCarty, Kenneth S. Observation on Bilateral Mastectomy: Resource Evaluation. Fort Belvoir, VA: Defense Technical Information Center, August 1998. http://dx.doi.org/10.21236/ada373922.
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Narod, Steven A. Mastectomy vs. Lumpectomy in Hereditary Breast Cancer. Fort Belvoir, VA: Defense Technical Information Center, October 2000. http://dx.doi.org/10.21236/ada392934.
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Narod, Steven A. Mastectomy vs. Lumpectomy in Hereditary Breast Cancer. Fort Belvoir, VA: Defense Technical Information Center, October 1999. http://dx.doi.org/10.21236/ada382919.
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Lowe, Elaine. Counseling needs of mastectomy patients: Reach to Recovery Program. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2076.
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Brewster, Abenaa, Susan Peterson, Scott Cantor, Robert Volk, Yu Shen, Isabelle Bedrosian, Herbert Dupont, and Patricia Parker. Contralateral Prophylactic Mastectomy and Breast Cancer: Clinical and Psychosocial Outcomes. Patient-Centered Outcomes Research Institute (PCORI), October 2018. http://dx.doi.org/10.25302/10.2018.ce.13046293.
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Saldanha, Ian J., Wangnan Cao, Justin M. Broyles, Gaelen P. Adam, Monika Reddy Bhuma, Shivani Mehta, Laura S. Dominici, Andrea L. Pusic, and Ethan M. Balk. Breast Reconstruction After Mastectomy: A Systematic Review and Meta-Analysis. Agency for Healthcare Research and Quality (AHRQ), July 2021. http://dx.doi.org/10.23970/ahrqepccer245.
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Objectives. This systematic review evaluates breast reconstruction options for women after mastectomy for breast cancer (or breast cancer prophylaxis). We addressed six Key Questions (KQs): (1) implant-based reconstruction (IBR) versus autologous reconstruction (AR), (2) timing of IBR and AR in relation to chemotherapy and radiation therapy, (3) comparisons of implant materials, (4) comparisons of anatomic planes for IBR, (5) use versus nonuse of human acellular dermal matrices (ADMs) during IBR, and (6) comparisons of AR flap types. Data sources and review methods. We searched Medline®, Embase®, Cochrane CENTRAL, CINAHL®, and ClinicalTrials.gov from inception to March 23, 2021, to identify comparative and single group studies. We extracted study data into the Systematic Review Data Repository Plus (SRDR+). We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. The protocol was registered in PROSPERO (registration number CRD42020193183). Results. We found 8 randomized controlled trials, 83 nonrandomized comparative studies, and 69 single group studies. Risk of bias was moderate to high for most studies. KQ1: Compared with IBR, AR is probably associated with clinically better patient satisfaction with breasts and sexual well-being but comparable general quality of life and psychosocial well-being (moderate SoE, all outcomes). AR probably poses a greater risk of deep vein thrombosis or pulmonary embolism (moderate SoE), but IBR probably poses a greater risk of reconstructive failure in the long term (1.5 to 4 years) (moderate SoE) and may pose a greater risk of breast seroma (low SoE). KQ 2: Conducting IBR either before or after radiation therapy may result in comparable physical well-being, psychosocial well-being, sexual well-being, and patient satisfaction with breasts (all low SoE), and probably results in comparable risks of implant failure/loss or need for explant surgery (moderate SoE). We found no evidence addressing timing of IBR or AR in relation to chemotherapy or timing of AR in relation to radiation therapy. KQ 3: Silicone and saline implants may result in clinically comparable patient satisfaction with breasts (low SoE). There is insufficient evidence regarding double lumen implants. KQ 4: Whether the implant is placed in the prepectoral or total submuscular plane may not be associated with risk of infections that are not explicitly implant related (low SoE). There is insufficient evidence addressing the comparisons between prepectoral and partial submuscular and between partial and total submuscular planes. KQ 5: The evidence is inconsistent regarding whether human ADM use during IBR impacts physical well-being, psychosocial well-being, or satisfaction with breasts. However, ADM use probably increases the risk of implant failure/loss or need for explant surgery (moderate SoE) and may increase the risk of infections not explicitly implant related (low SoE). Whether or not ADM is used probably is associated with comparable risks of seroma and unplanned repeat surgeries for revision (moderate SoE for both), and possibly necrosis (low SoE). KQ 6: AR with either transverse rectus abdominis (TRAM) or deep inferior epigastric perforator (DIEP) flaps may result in comparable patient satisfaction with breasts (low SoE), but TRAM flaps probably increase the risk of harms to the area of flap harvest (moderate SoE). AR with either DIEP or latissimus dorsi flaps may result in comparable patient satisfaction with breasts (low SoE), but there is insufficient evidence regarding thromboembolic events and no evidence regarding other surgical complications. Conclusion. Evidence regarding surgical breast reconstruction options is largely insufficient or of only low or moderate SoE. New high-quality research is needed, especially for timing of IBR and AR in relation to chemotherapy and radiation therapy, for comparisons of implant materials, and for comparisons of anatomic planes of implant placement.
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Formenti, Silvia C. Hypo-Fractionated Conformal Radiation Therapy to the Tumor Bed After Segmental Mastectomy. Fort Belvoir, VA: Defense Technical Information Center, July 2005. http://dx.doi.org/10.21236/ada439208.
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Formenti, Silvia C. Hypo-Fractionated Conformal Radiation Therapy to the Tumor Bed After Segmental Mastectomy. Fort Belvoir, VA: Defense Technical Information Center, July 2004. http://dx.doi.org/10.21236/ada427755.
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