Seminars in breast disease最新文献_第4页

Developing Interdisciplinary Relationships That Make a Difference 发展跨学科的关系，产生影响

Seminars in breast disease Pub Date : 2008-03-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.04.003

Phillip G. Sutton MD, FACS

引用次数: 1

Regional Breast Disease Working Group: Another Dimension of Breast Care 区域乳房疾病工作组:乳房护理的另一个层面

Seminars in breast disease Pub Date : 2008-03-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.04.002

J.B. Askew Jr. MD

引用次数: 2

Administrative and Leadership Challenges in Building a New Era of Breast Centers 建立乳房中心新时代的行政和领导挑战

Seminars in breast disease Pub Date : 2008-03-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.04.010

Marie M. La Fargue MPH , Jay K. Harness MD, FACS

{"title":"Administrative and Leadership Challenges in Building a New Era of Breast Centers","authors":"Marie M. La Fargue MPH , Jay K. Harness MD, FACS","doi":"10.1053/j.sembd.2008.04.010","DOIUrl":"10.1053/j.sembd.2008.04.010","url":null,"abstract":"<div><p>While the past two decades demonstrated the growth from imaging centers to comprehensive breast centers, sometimes in a one-stop setting, to remain viable, patient-focused and attractive to payors, the breast center of the future will need to integrate emerging technologies in an Advanced Technology Breast Center setting where surgeons and radiologists work synergistically in a side-by-side practice environment in collaboration with other breast specialists. While clinical excellence has been a fundamental component of breast center development, the economics in health care have created a demand for administrative and executive leadership to play a more vital role in championing breast center development. This approach promotes a structured, interdisciplinary panel model to ensure a patient and family centered, high technology, compassionate high touch, and culturally competent breast program. The most critical message of this article is that, before a team engages in recruiting staff, developing programs, and establishing collaborative partnerships, administrative and financial leadership within organizations must conduct an assessment of the strategic presence, prioritization, and placement of the breast center on the organizational radar screen.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"11 1","pages":"Pages 38-42"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2008.04.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57943646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Lexington Medical Center Case Study 列克星敦医疗中心案例研究

Seminars in breast disease Pub Date : 2008-03-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.04.005

引用次数: 0

Interdisciplinary Comprehensive Breast Tumor Boards: Their Role in the Comprehensive Management of Contemporary Breast Cancer 跨学科综合乳腺肿瘤委员会:他们在当代乳腺癌综合管理中的作用

Seminars in breast disease Pub Date : 2008-03-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2008.04.001

Blake Cady MD

引用次数: 3

Management and Outcome of Ipsilateral Recurrence Following Breast Conservation 保乳后同侧复发的处理及结果

Seminars in breast disease Pub Date : 2007-12-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2007.11.002

Laurie J. Kirstein MD, Alphonse Taghian MD, PhD, Kevin S. Hughes MD

引用次数: 0

The Role of MRI Before Breast Conservation 乳房保存前MRI检查的作用

Seminars in breast disease Pub Date : 2007-12-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2007.10.006

S.H. Heywang-Köbrunner , D. Möhrling , J. Nährig

{"title":"The Role of MRI Before Breast Conservation","authors":"S.H. Heywang-Köbrunner , D. Möhrling , J. Nährig","doi":"10.1053/j.sembd.2007.10.006","DOIUrl":"10.1053/j.sembd.2007.10.006","url":null,"abstract":"<div><p><span>Breast conserving therapy comprising excision of the malignancy<span><span> followed by irradiation is the method of choice for the treatment of small breast cancer. Increasing data show that contrast-enhanced </span>breast MRI<span> may be useful to more correctly assess tumor extent in cases scheduled for breast conserving therapy. Existing data prove that MRI can detect foci or extent of both invasive and in situ breast cancer not visualized by mammography or ultrasound. A correct change of therapy (with respect to complete excision of malignant tissue) has been reported in approximately 12% to 32% of the examined breast cancers. However, this is associated with a reported rate of 3% to 30% of false positive calls, which necessitate additional percutaneous or open biopsy, or </span></span></span>wider excision<span>. The best proportion of true positive versus false positive findings may be expected in patients with proven lobular invasive breast cancer or in patients with dense breast tissue at increased risk. So far valid data concerning an effect on improved survival or a decreased rate of recurrence do not exist. Open questions, such as value for the patient, potential over-treatment and the need to assure adequate guidance for histopathological assessment of MR-detected lesions are discussed.</span></p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"10 4","pages":"Pages 137-144"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2007.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57942847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Axillary Sentinel Lymph Node Biopsy for Carcinoma of the Breast: A Personal Perspective 乳腺癌腋窝前哨淋巴结活检:个人观点

Seminars in breast disease Pub Date : 2007-12-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2007.10.004

Gordon F. Schwartz MD, MBA, FACS

引用次数: 1

Breast Conservation Therapy and the Role of the Surgical Pathologist 乳房保护治疗和外科病理学家的作用

Seminars in breast disease Pub Date : 2007-12-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2007.10.001

Juan P. Palazzo MD, Joshua M. Lloyd MD

引用次数: 1

The Technical Approach to Radiation Treatment As a Component of Breast Conservation Treatment for Early Stage Breast Carcinoma 放射治疗作为早期乳腺癌保乳治疗组成部分的技术途径

Seminars in breast disease Pub Date : 2007-12-01 Epub Date: 2008-09-25 DOI: 10.1053/j.sembd.2007.10.002

Lawrence J. Solin MD, FACR

{"title":"The Technical Approach to Radiation Treatment As a Component of Breast Conservation Treatment for Early Stage Breast Carcinoma","authors":"Lawrence J. Solin MD, FACR","doi":"10.1053/j.sembd.2007.10.002","DOIUrl":"10.1053/j.sembd.2007.10.002","url":null,"abstract":"<div><p><span><span>For the woman with newly diagnosed early stage breast carcinoma undergoing </span>breast conservation treatment<span>, definitive radiation treatment is delivered after breast conservation surgery. While the importance of the technical approach to breast conservation surgery is widely appreciated, the technical skill for radiation treatment is also critical to maximize local-regional control and to minimize toxicity. Recent advances have dramatically improved technical </span></span>radiation treatment planning and delivery. The radiation treatment technique must be integrated with the surgical procedure performed, the pathology findings, and the systemic treatment delivered. The radiation treatment technique also must coordinate with newer treatment approaches in surgery (e.g., sentinel lymph node biopsy) and systemic therapy (e.g., neoadjuvant systemic therapy, agents with potential cardiac toxicity). To maximize long-term outcome, a sound approach to the technical radiation treatment is an integral component of the combined modality treatment for the patient with early stage breast carcinoma.</p></div>","PeriodicalId":87785,"journal":{"name":"Seminars in breast disease","volume":"10 4","pages":"Pages 145-151"},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sembd.2007.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57942656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1