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.
Understanding the anatomy of the breast and axillary lymph nodes is crucial for surgical procedures.
Benign breast diseases such as fibrocystic disease and fibroadenoma have distinct presentations and treatment options.
Breast cancer management involves various aspects including diagnosis, treatment options, and considerations for specific patient populations.
Deep dives
Breast anatomy and lymph node dissection
Breast anatomy and the boundaries of axillary lymph nodes are discussed. The levels of axillary lymph nodes and the potential nerves that can be injured during axillary dissection are explained.
Benign breast pathology and lesions
Different types of benign breast diseases and lesions are covered, including fibrocystic disease, fibroadenoma, fibrocystic change, and breast infections. The presentation, diagnosis, and treatment options for each condition are highlighted.
Breast cancer and treatment options
Different aspects of breast cancer, including its presentation, diagnosis, and treatment options, are discussed. Topics covered include breast conservation therapy, mastectomy, adjuvant therapies like chemotherapy and radiation, and considerations for breast cancer in pregnant women and men.
Diagnosis and treatment of DCIS
DCIS is typically found on mammography and diagnosed with corneidobiapsy. Breast conservation therapy with lumpectomy and adjuvant radiation is an option for treatment. Large or multi-quadrant lesions may require simple mastectomy with sentinel lymph node biopsy.
Staging and treatment of invasive breast cancer
Staging of invasive breast cancer is based on T stage (size) and nodal involvement. Treatment options include surgery, adjuvant chemotherapy, radiation therapy, and hormonal therapy based on hormone receptor status. Aquatype DX score can help predict recurrence risk and guide chemotherapy decisions. Reconstruction options include implant-based and autologous tissue flaps.
Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/
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