""Recent
advances of oncoplastic techniques in breast surgery have
allowed to achieve maximum oncological radicality, together with
minor cosmetic alteration possible. This has resulted in an
important advantage for the patients subjected to conservative
surgery for breast cancer, as proven by many scientific studies
that have highlighted in these cases a minor psychological
impactl overall. The surgical technique proposed demonstrates
that, according to the conventional protocols of breast
conserving therapy for cancer, it is possible to perform a
complete excision of the tumor, with an "extra-mammary"
surgical approach trough an incision made immediately below the
inframammary fold, with a scar completely invisible on standing
by natural ptosis of the breast. This technique is indicated for
cases of early breast cancer, regardless of the location of the
tumor, as long as there is no involvement of the overlying skin.
Additional research needs to be conducted to evaluate long term
results and effectiveness of the proposed technique in relation
to a large number of cases" (Comment
on: Gerbasi
D et al.: "Inframammary fold approach in breast conserving surgery for
cancer", Updates Surg.
2011 Dec;63(4):283-6)
Discussion
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Radiation Therapy for Breast Cancer: American
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William
S Halsted (New York, 1852-1922), "The
results of radical operationsfor the cure of carcinoma of the breast", Ann Surg.
July 1907:46(1):1-19:“I am not sure that I have observed from breast cancer, metastasis which
seemed definitely to have been conveyed by way of the
blood-vessels (…).We believe that cancer of the breast in
spreading centrifugally preserves in the main continuity with
the original growth, and before involving the viscera may become
widely diffused along surface planes."
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