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Early-Stage Breast Cancer: New Developments and Controversies, An Issue of Surgical Oncology Clinics - E- Book

Early-Stage Breast Cancer: New Developments and Controversies, An Issue of Surgical Oncology Clinics - E- Book

Eleftherios P. Mamounas

(2010)

Additional Information

Book Details

Abstract

This issue of the Surgical Oncology Clinics will focus on new advances in Breast Cancer Surgery, and will include articles on Chemoprevention, Breast MRI, Genomics, Sentinel Node Biopsy, Extra-axillary Sentinel Nodes, Skin-Sparing and Nipple Sparing Mastectomy, Oncoplastic Techniques, Neoadjuvant Hormonal Therapy, Neoadjuvant Chemotherapy, Adjuvant Hormonal Therapy, Adjuvant Chemotherapy, and Biologic Targeted Therapies.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents vii
FORTHCOMING ISSUES xii
RECENT ISSUES xii
Foreword xiii
Preface xv
Erratum xvii
Chapter 1. Breast Cancer Chemoprevention: Progress and Controversy 463
SELECTED ESTROGEN RECEPTOR MODULATORS 464
TAMOXIFEN CHEMOPREVENTION TRIALS 464
ADDITIONAL TAMOXIFEN BREAST CANCER PREVENTION TRIALS 466
RALOXIFENE STUDIES 466
THE STUDY OF TAMOXIFEN AND RALOXIFENE TRIAL, NSABP P-2 468
ADDITIONAL SERMS 470
AROMATASE INHIBITORS 470
2009 AMERICAN SOCIETY OF CLINICAL ONCOLOGY CLINICAL PRACTICE GUIDELINES ON THE USE OF PHARMACOLOGIC INTERVENTION, INCLUDING TAMOXIFEN, RALOXIFENE, AND AIS, FOR BREAST CANCER RISK REDUCTION 471
SUMMARY 471
REFERENCES 472
Chapter 2. Magnetic Resonance Imaging for Screening, Diagnosis, and Eligibility for Breast-conserving Surgery: Promises and Pitfalls 475
MRI FOR SCREENING 476
MRI FOR TREATMENT SELECTION 479
MRI FOR DETECTION OF LOCAL RECURRENCE 486
SUMMARY 487
REFERENCES 487
Chapter 3. Clinical Significance of Minimal Sentinel Node Involvement and Management Options 493
WHAT CONSTITUTES A POSITIVE SENTINEL LYMPH NODE? 493
TREATMENT OF SENTINEL NODE POSITIVE DISEASE: THE NEED FOR ALND? 496
PREDICTIVE MODELS 497
CLINICAL TRIALS 499
SUMMARY 500
REFERENCES 500
Chapter 4. Clinical Significance and Management of Extra-Axillary Sentinel Lymph Nodes: Worthwhile or Irrelevant? 507
INTERNAL MAMMARY SLNs 507
OTHER SITES OF NONAXILLARY SLN 513
SUMMARY 514
REFERENCES 514
Chapter 5. Sentinel Lymph Node Biopsy Before or After Neoadjuvant Chemotherapy: Pros and Cons 519
POTENTIAL ADVANTAGES TO SLN BIOPSY BEFORE NEOADJUVANT CHEMOTHERAPY 520
POTENTIAL ADVANTAGES TO SLN BIOPSY AFTER NEOADJUVANT CHEMOTHERAPY 522
MUST A POSITIVE PRETREATMENT SLN BIOPSY COMMIT A PATIENT TO AN ALND AFTER CHEMOTHERAPY? 524
IS SLN BIOPSY ACCURATE AFTER NEOADJUVANT CHEMOTHERAPY? 524
ACCURACY IN THE FACE OF CLINICALLY INVOLVED NODES BEFORE CHEMOTHERAPY 525
ACCURACY IN THE FACE OF CLINICALLY NEGATIVE NODES 526
IS IT SAFE TO AVOID ALND AFTER A NEGATIVE SLN BIOPSY FOLLOWING NEOADJUVANT CHEMOTHERAPY? 527
WHICH APPROACH PROVIDES THE MOST RELEVANT PROGNOSTIC/PREDICTIVE INFORMATION? 529
MUST ONE APPROACH BE UNIVERSALLY APPLIED? 531
REFERENCES 532
Chapter 6. Sentinel Lymph Node Surgery in Uncommon Clinical Circumstances 539
BREAST CANCER IN MEN 539
PREGNANT PATIENTS WITH BREAST CANCER 540
DUCTAL CARCINOMA IN SITU 541
MULTICENTRIC/MULTIFOCAL BREAST CANCER 542
NEOADJUVANT CHEMOTHERAPY 542
PREVIOUS BREAST SURGERY 543
PREVIOUS AXILLARY SURGERY 544
INTERNAL MAMMARY SLN SURGERY 545
PROPHYLACTIC MASTECTOMY 546
SUMMARY 547
REFERENCES 547
Chapter 7. Total Skin Sparing (Nipple Sparing) Mastectomy: What is the Evidence? 555
LITERATURE REVIEW 556
TECHNICAL CONSIDERATIONS 558
PATIENT SELECTION FOR TOTAL SKIN SPARING MASTECTOMY 559
TECHNICAL APPROACHES: INCISION PLANNING 559
TECHNICAL CONSIDERATIONS: CREATING SKIN FLAPS 559
DISCUSSION 560
REFERENCES 565
Chapter 8. Oncoplastic Surgery: A Creative Approach to Breast Cancer Management 567
HISTORICAL PERSPECTIVE 567
DEFINITION OF ONCOPLASTIC SURGERY 570
ONCOPLASTIC SURGERY AND BREAST CANCER 570
PREOPERATIVE ASSESSMENT 573
SURGICAL PLANNING 574
THE SMALL BREAST 575
THE LARGE BREAST 575
SUMMARY 578
REFERENCES 579
Chapter 9. Clinical Application of Gene Expression Profiling in Breast Cancer 581
PROGNOSTIC AND PREDICTIVE MARKERS 584
PROCESS FOR DEVELOPMENT OF A MULTIPARAMETER ASSAY 585
METHODS FOR ANALYZING GENE EXPRESSION 585
QUALITY CONTROL OF GENE EXPRESSION ANALYSIS METHODS 588
METHODS FOR BIOINFORMATICS ANALYSIS OF GENE EXPRESSION 589
VALIDITY, REPRODUCIBILITY, AND REPORTING OF MICROARRAY STUDIES 590
REGULATORY APPROVAL OF MULTIPARAMETER ASSAYS 591
CLASSIFIERS DEVELOPED BY SUPERVISED ANALYSIS 591
MULTIPARAMETER ASSAYS COMPARED WITH INTEGRATED CLINICAL INFORMATION 597
CLASSIFIERS DEVELOPED BY OTHER METHODS 597
WOUND-RESPONSE SIGNATURE 599
INVASIVE GENE SIGNATURE 599
PROSPECTIVE CLINICAL TRIALS EVALUATING MULTIPARAMETER ASSAYS 600
CLINICAL USEFULNESS OF MULTIPARAMETER ASSAYS AND CONCLUSIONS 600
REFERENCES 602
Chapter 10. Neoadjuvant Chemotherapy for Operable Breast Cancer: Individualizing Locoregional and Systemic Therapy 607
POTENTIAL BENEFITS OF NEOADJUVANT CHEMOTHERAPY FOR BREAST CANCER 607
PREDICTING RESPONSE TO NEOADJUVANT CHEMOTHERAPY 609
CHEMOTHERAPY VERSUS HORMONAL THERAPY 611
PRE-THERAPY ASSESSMENT AND STAGING 612
OPTIMAL CHEMOTHERAPY REGIMEN 613
ASSESSING RESPONSE TO NEOADJUVANT CHEMOTHERAPY 614
RESECTION OF THE PRIMARY TUMOR: BREAST CONSERVATION VERSUS MASTECTOMY 616
MANAGEMENT OF REGIONAL LYMPH NODES IN PATIENTS TREATED WITH NCT 617
POSTMASTECTOMY REGIONAL/CHEST WALL IRRADIATION AFTER NEOADJUVANT CHEMOTHERAPY 618
SUMMARY 619
REFERENCES 619
Chapter 11. Neoadjuvant Endocrine Therapy for Breast Cancer 627
TAMOXIFEN VERSUS SURGERY 627
AIS VERSUS TAMOXIFEN 628
NEOADJUVANT CHEMOTHERAPY VERSUS ENDOCRINE THERAPY 629
BIOMARKER EVALUATION IN THE NEOADJUVANT ENDOCRINE SETTING TO PREDICT LONG-TERM OUTCOME 630
RECEPTOR, HER2 STATUS AND SENSITIVITY TO ENDOCRINE THERAPY 631
WHICH AI IS SUPERIOR? 633
PATIENT SELECTION FOR NEOADJUVANT CHEMOTHERAPY 634
NEW COMBINATIONS WITH ENDOCRINE THERAPY IN THE NEOADJUVANT SETTING 635
SUMMARY 635
REFERENCES 636
Chapter 12. Adjuvant Hormonal Therapy for Early-Stage Breast Cancer 639
TAMOXIFEN 640
ADJUVANT ENDOCRINE THERAPY FOR POSTMENOPAUSAL WOMEN WITH HORMONE RECEPTOR–POSITIVE EARLY-STAGE BREAST CANCER 641
ADJUVANT ENDOCRINE THERAPY FOR PREMENOPAUSAL WOMEN WITH HORMONE RECEPTOR–POSITIVE EARLY-STAGE BREAST CANCER 644
SUMMARY 644
REFERENCES 645
Chapter 13. Adjuvant Chemotherapy in Early-Stage Breast Cancer: What, When, and for Whom? 649
WHO SHOULD BE CONSIDERED FOR ADJUVANT CHEMOTHERAPY? 651
WHAT ADJUVANT CHEMOTHERAPY? 653
TUMOR BIOLOGY AND CHOICE OF ADJUVANT CHEMOTHERAPY 658
ADJUVANT CHEMOTHERAPY WHEN? 661
SUMMARY 662
REFERENCES 662
Chapter 14. Targeted Therapies in Early-Stage Breast Cancer: Achievements and Promises 669
WHAT IS MEANT BY TARGETED THERAPY? 669
TARGETED THERAPY IN THE CONTEXT OF GENOMICS 670
HER2-TARGETED THERAPY 671
NOVEL APPROACHES: ANTI–VASCULAR ENDOTHELIAL GROWTH FACTOR THERAPY 672
NOVEL APPROACHES: CHEMOTHERAPY AS TARGETED THERAPY 674
NOVEL APPROACHES: PARP INHIBITION FOR TRIPLE-NEGATIVE (BASAL) BREAST CANCER 674
NOVEL APPROACHES: TARGETING SITE-SPECIFIC BONE METASTASIS 675
SUMMARY 676
REFERENCES 677
Index 681