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Early Diagnosis and Treatment of Cancer Series: Breast Cancer - E-Book

Early Diagnosis and Treatment of Cancer Series: Breast Cancer - E-Book

Lisa Jacobs | Christina Finlayson | Stephen C. Yang

(2010)

Additional Information

Book Details

Abstract

Each volume in the Early Detection and Treatment of Cancer Series is packed with practical, authoritative information designed to cover the full range of diagnostic procedures, including pathologic, radiologic, bronchoscopic, and surgical aspects. You’ll be able to determine the safest, shortest, least invasive way to reach an accurate diagnosis; stage the disease; and choose the best initial treatment for early stages. Based on current evidence in the literature, authors provide clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed to diagnose and stage each type of cancer. Practical, authoritative, and highly-illustrated, this volume in the brand new Early Detection and Treatment of Cancer series covers current protocols and the latest advances in diagnostic imaging and molecular and serologic markers for breast cancer. Apply expert advice on the best “next-step” plan for different presentations and tips for less invasive protocols. Get clinical, hands-on tools to help you make informed decisions on precisely what tests and imaging studies are needed for accurate diagnosis and staging. Clear figures, tables, and boxes illustrate step-by-step care of the full range of problems encountered. The small size and convenient format make this an ideal purchase for diagnostic reference.

  • Outlines the steps after diagnosis to guide you through formulating a treatment or patient care plan.
  • Emphasizes important points—such as the promising new breast cancer vaccine, sentinel node biopsy, and hormone receptor tests—with “key points” boxes at the beginning of each chapter and pedagogic features throughout.
  • Summarizes the process of accurately diagnosing and staging cancer in a logical, almost algorithmic, approach for easy reference.
  • Discusses the treatment of early-stage disease so you have clear options for care.
  • Complements the procedures outlined in the text with full-color photographs and line drawings to reinforce your understanding of the material.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Early Diagnosis and Treatment of Cancer: Breast Cancer iii
Copyright Page iv
Table of Contents xi
Dedication v
Series Preface vii
Preface ix
Contributors xiii
Chapter 1. The Normal Breast and Benign Diseases of the Breast 1
The Normal Breast 1
Abnormalities of Breast Development 3
Gynecomastia 4
Inflammatory and ReactiveBreast Lesions 4
Fibroepithelial Lesions 6
Papillary Lesions 7
Fibrocystic Change 7
Conclusion 9
References 10
Chapter 2. Ductal and Lobular Proliferations: Preinvasive Breast Disease 11
Introduction 11
Ductal Carcinoma in Situ 12
Atypical Ductal Hyperplasia 16
Ductal Hyperplasia of the Usual Type 17
Lobular Neoplasia 18
References 20
Chapter 3. Invasive Breast Cancer 21
Introduction 21
Biopsy Procedures 21
Histopathologic Appearance of Invasive Breast Cancer 22
Mimickers of Invasive Carcinoma 24
Grading 29
Margin Status 30
Invasive Carcinoma with an Extensive in Situ Component 31
Lymphovascular Space Invasion 31
Lymph Nodes 31
Invasive Ductal Carcinoma 33
Invasive Lobular Carcinoma 33
Invasive Tubular Carcinoma 35
Tubulolobular Carcinoma 37
Mucinous (Colloid) Carcinoma 37
Invasive Cribriform Carcinoma 38
Medullary Carcinoma 39
Invasive Papillary Carcinoma 40
Invasive Micropapillary Carcinoma 40
Invasive Apocrine Carcinoma 41
Adenoid Cystic Carcinoma 42
Metaplastic Carcinoma 42
Neuroendocrine Tumors 45
Primary Malignant Lymphoma 45
In. ammatory Carcinoma 46
Paget Disease 46
Microinvasive Carcinoma 47
Presentation as an Axillary Lymph Node Metastasis 48
Conclusion 51
References 51
Chapter 4. Risk Factors and Risk Assessment 55
Breast Cancer and Risk 55
Risk Factors 56
Risk Assessment Tools 62
Discussing Risk with Patients 65
Conclusion 68
References 68
Chapter 5. Genetics 71
Introduction 71
Genetics Review: Autosomal Dominant Inheritance 72
Hereditary Breast and Ovarian Cancer Syndrome (HBOC) 72
Genetic Testing 75
Management: Screening and Risk Reduction Options 77
Low-Penetrance Genes 84
Genetic Assessment 84
Special Considerations 86
Conclusion 86
References 87
Chapter 6. Strategies for Risk Reduction 89
Concepts of Chemoprevention 90
Tamoxifen Chemoprevention Studies 90
Raloxifene Chemoprevention Studies 92
International Chemoprevention Studies 93
Impact of Chemoprevention on Benign Breast Disease 94
Phytoestrogens as Chemopreventive Agents 95
Translation of Studies into Clinical Use of Tamoxifen 95
Genetic Counseling 96
Cost-Effectiveness of Tamoxifen and Chemoprevention 97
Overview of Prophylactic Mastectomy 98
Patient Selection 98
Quality of Life after Prophylactic Mastectomy 100
Summary 100
References 102
Chapter 7. Nutrition and Lifestyle 105
Introduction 105
Diet 106
Recommendations 112
Adiposity 113
Alcohol 118
Exposures 119
Summary 121
References 122
Chapter 8. Radiologic Techniques for Early Detection and Diagnosis 125
Film Mammography 125
Digital Mammography 125
Ultrasound 129
Magnetic Resonance Imaging 129
Nuclear Medicine Techniques 130
Digital Breast Tomosynthesis 131
Contrast-Enhanced Digital Mammography 134
Dedicated Breast CT 137
Conclusion 137
References 138
Chapter 9. Screening of High-Risk Patients 141
Introduction 141
Definition of High Risk 141
Mammography 141
Screening Recommendations 144
Magnetic Resonance Imaging 145
Whole Breast Ultrasound 146
Nuclear Medicine 147
Tomosynthesis 147
Breast 1H MRI Spectroscopy 148
Conclusion 148
References 149
Chapter 10. Minimally Invasive Breast Biopsy 151
Introduction 151
Conclusion 173
References 173
Chapter 11. Surgical Biopsy 175
Introduction 175
Evaluation of a Palpable Breast Lesion 175
Biopsy Techniques 177
Evaluation of a Nonpalpable Breast Lesion 179
Evaluation of Nipple Discharge 180
Skin Biopsy 182
Conclusion 183
References 183
Chapter 12. Surgical Therapy of Early Breast Cancer 185
Introduction 185
History 185
Mastectomy 187
Partial Mastectomy (Lumpectomy) 188
Conclusion 190
References 190
Chapter 13. Breast Reconstruction after Mastectomy 191
Introduction 191
Immediate versus Delayed Reconstruction 193
Prosthetic Reconstruction 195
Autologous Reconstruction 196
Surveillance after Breast Reconstruction 201
Conclusion 202
References 202
Chapter 14. Oncoplastic Surgical Techniques for the Partial Mastectomy 205
Introduction to Oncoplastic Surgery 205
Anatomic Distribution of Cancer in the Breast 206
Preoperative Assessment of Disease Distribution 208
Oncoplastic Partial Mastectomy 209
Conclusions 214
References 214
Chapter 15. Axillary Management 217
Introduction 217
Noninvasive Axillary Assessment 219
Management of the Clinically Negative Axilla 221
Management of the Clinically Positive Axilla 231
Complications of Axillary Surgery 234
References 236
Chapter 16. Radiation Oncology 241
Introduction 241
Breast-Conserving Therapy 242
Alternative Breast-Conserving Therapies 243
Radiation Toxicity 251
Primary Radiation Therapy 255
Conclusion 256
References 256
Chapter 17. Neoadjuvant Therapy 261
Historical Perspective 261
Neoadjuvant Treatment 266
Multidisciplinary Management of Patients Receiving Neoadjuvant Therapy 271
What If Neoadjuvant Therapy Doesn’t Work? 276
Recommendations for Neoadjuvant Therapy 276
Open Questions and Ongoing Studies 277
References 277
Chapter 18. Cost-Effective Staging of Breast Cancer 281
Overview 281
Local Staging of Newly Diagnosed Breast Cancer 284
Evaluating for Distant Metastasis 286
Summary 288
References 289
Chapter 19. Adjuvant Systemic Therapy 291
Types of Breast Cancer 291
Molecular Subtypes of Breast Cancer 291
Risk of Breast Cancer Recurrence and Mortality 291
Adjuvant Chemotherapy 292
Adjuvant Hormone Therapy 297
References 304
Chapter 20. Surveillance and Detection of Recurrence of Breast Cancer 307
Introduction 307
The Evidence Behind Current Surveillance Guidelines in Breast Cancer 307
Detecting Locoregional Recurrences 308
Detecting Asymptomatic Systemic Metastases 311
Symptom-Directed Workup 312
Long-Term Complications of Adjuvant Chemotherapy for Breast Cancer 314
Coordinating Medical Care 315
Conclusions 316
References 317
Chapter 21. The Use of Molecular Pro. les in the Management of Breast Cancer 319
Introduction 319
Prognostic Profiles 321
Predictive Profiles 323
Conclusion 325
References 325
Chapter 22. Partial Breast Irradiation 327
Background 327
Challenging Whole Organ Therapy 327
The Case for WBI 328
Patient Selection 329
Impact of Technologic Advances and Techniques 330
Interstitial Multicatheter Brachytherapy 331
MammoSite Radiation Therapy System 332
Other Intracavitary Devices 333
External-Beam Radiation Therapy 334
Fractionation 336
Ipsilateral Breast Tumor Control 338
Toxicity and Complications 339
Cosmesis 339
Conclusions 340
References 341
Chapter 23. Breast Cancer and Pregnancy 343
Epidemiology 343
Presentation 343
Pathology 344
Imaging 344
Biopsy 345
Staging 346
Treatment 346
Summary 352
References 352
Chapter 24. Mammary Ductoscopy 355
Introduction 355
Technical Aspects of Performing MD 357
Clinical Features with Use of MD 358
Methods of Increasing the Sensitivity of MD Sample Analysis 359
Indications for MD 359
Conclusion 361
Future Perspective 362
References 362
Chapter 25. Conclusion 363
References 365
Index 367