State-of-the-art breast reconstruction

Hang-Fu, Lee; Snyderman, Reuven K.

doi:10.1002/1097-0142(19910901)68:5+<1148::aid-cncr2820681304>3.0.co;2-4

Cited by 12 publications

(3 citation statements)

References 30 publications

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“…A cirurgia de reconstrução mamária (RM) é um procedimento relativamente recente. Na década de 70 deu-se início ao desenvolvimento de técnicas reconstrutivas mais apuradas, tanto no design, quanto no procedimento cirúrgico propriamente dito (NOONE et al, 1982;HANG-FU, 1991). Apesar de que, na história da cirurgia plástica encontram-se relatos de tentativas de reconstrução, desde o final do século XIX, conforme nos ilustra Marques et al (1995) ao citarem os estudos de Tanzini, datados de 1886.…”

Section: Repercussões Afetivo-sexuais Da Mastectomia E Da Reconstruçãunclassified

O Resgate Da Auto-Estima

Teixeira¹

2007

Rev. Bras. Sex. Hum.

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Este artigo aborda as implicações psicossexuais do tratamento cirúrgico da neoplasia mamária feminina, mais especificamente da mastectomia e da reconstrução da mama. O foco deste trabalho concentra-se nas conseqüências de tais procedimentos na auto-estima e no exercício da sexualidade da mulher acometida pelo câncer de mama. Iniciamos por um breve percurso histórico, para em seguida salientar o papel dos seios na construção do feminino e finalmente, apresentamos algumas pesquisas sobre o grande desafio enfrentado pelas mulheres.

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Section: Repercussões Afetivo-sexuais Da Mastectomia E Da Reconstruçãunclassified

O Resgate Da Auto-Estima

Teixeira¹

2007

Rev. Bras. Sex. Hum.

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“…Methods of breast reconstruction include placement of tissue expanders, implants, and autologous myocutaneous flaps (AMFs). AMFs are increasingly used after mastectomy for breast cancer (1)(2)(3)(4)(5)(6)(7)(8)(9). Breast reconstruction is frequently performed at the time of mastectomy, although delayed reconstruction can also be performed.…”

Section: Introductionmentioning

confidence: 99%

Mammography of Autologous Myocutaneous Flaps

Hogge

Zuurbier²,

Paredes³

1999

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Autologous myocutaneous flaps (AMFs) are used increasingly as a method of breast reconstruction after mastectomy for breast cancer. Autogenous breast reconstruction may be performed with a rectus abdominis, latissimus dorsi, or gluteus maximus myocutaneous flap. Mammographic imaging of AMFs is controversial but has been recommended by some authors because mammographic detection of nonpalpable local recurrences in AMFs continues to be reported. At mammography, AMFs have a predominantly fatty appearance with variable density due to the muscle component and postoperative scarring. Normal mammographic findings include the vascular pedicle, surgical clips, and surgical scars, which produce radiopaque lines in predictable locations. Abnormal mammographic findings include fat necrosis appearing as a spiculated mass, noncalcified or calcified lipid cysts, calcifications, lymph nodes, epidermal inclusion cysts, and locally recurrent carcinoma.

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“…Other reports recommend rapid on-site cytopathologic examinations (ROSE) in transbronchial needle aspiration of lymph nodes. [5][6][7] However, ROSE has not been introduced for diagnosing peripheral lung lesions. Recently, the combination of ultra-fast Papanicolaou staining and multiplanar reconstruction images has been recommended to improve diagnostic accuracy and safety in fluoroscopy-guided transbronchial biopsy.…”

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Improved Diagnostic Efficacy by Rapid Cytology Test in Fluoroscopy-Guided Bronchoscopy

Uchida

Imamura

Takenaka

et al. 2006

Journal of Thoracic Oncology

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Background: Fluoroscopy-guided bronchoscopy is a safe and routine method used to obtain a histologic or cytologic specimen of peripheral lung nodules, but it has low sensitivity in diagnosing malignant tumors. Although feedback from rapid cytology tests are expected to improve diagnostic rates, the value of the routine use of rapid cytology tests has not been established. Materials and Methods: We prospectively studied 657 patients with suspected peripheral malignant lung lesions on chest computed tomography who underwent fluoroscopy-guided bronchoscopy between January 2002 and December 2004. Rapid on-site cytopathologic examinations (ROSE) were performed during bronchoscopic examinations. The additional approach to the lesions was performed immediately after conventional bronchoscopic examinations when ROSE was not considered diagnostic. Results: There were 528 patients diagnosed as having malignant lesions. In 477 of these patients (90.3%), final malignant diagnosis was established by the initial bronchoscopy. Among these, 84 patients (15.9%) were diagnosed only with the additional feedback from ROSE. Of 240 peripheral lesions Յ2 cm, 174 were found to be malignant. Without ROSE, 110 (63.2%) of peripheral malignant lesions were diagnosed by bronchoscopy. The integration of ROSE enabled us to diagnose an additional 40 patients (23.0%) by bronchoscopy. ROSE improved diagnostic yield independent of the site and histology of the lesions and experience of the operators. Conclusion: ROSE increased the diagnostic yield of bronchoscopy from 74.4% to 90.3% and therefore is an effective reinforcement in bronchoscopic diagnosis of peripheral pulmonary malignancies. The use of ROSE in routine bronchoscopy should be encouraged.

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State-of-the-art breast reconstruction

Cited by 12 publications

References 30 publications

O Resgate Da Auto-Estima

O Resgate Da Auto-Estima

Mammography of Autologous Myocutaneous Flaps

Improved Diagnostic Efficacy by Rapid Cytology Test in Fluoroscopy-Guided Bronchoscopy

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