Behind The Knife: The Surgery Podcast

Behind the Knife ABSITE 2024 - Breast

36 snips
Dec 20, 2023
This podcast discusses various topics related to breast surgery and breast cancer, including breast lesions and their risks, breast pathology, diagnosis and treatment of breast conditions, genetic mutations and breast cancer risk, treatment options for inflammatory breast cancer and Padgett's disease, comparing lymph node biopsies to axillary dissections in breast cancer, abdominal wall flaps for breast reconstruction, and breast surgery and cancer.
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ADVICE

Simple Cyst Management

  • Observe asymptomatic simple breast cysts with characteristic imaging.
  • Aspirate symptomatic cysts; excise if bloody, recurrent, or unresolved.
ADVICE

Complex Cyst Management

  • Biopsy complex breast cysts with solid components or internal vascularity using core needle biopsy.
  • Send bloody aspirates for cytology, and look for atypical ductal or lobular hyperplasia.
ADVICE

Fibroadenoma Diagnosis and Treatment

  • Use ultrasound for fibroadenoma diagnosis in women under 35, mammography for those over 35.
  • Excise if the mass enlarges during surveillance or if there's uncertainty.
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