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  1 / 4301 MEDLINE  
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PMID:29326237
Autor:Qiao J; Zhou S; Fang H
Dirección:Department of Dermatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, People's Republic of China.
Título:An ulcer on the nipple.
Fuente:BMJ; 360:j5850, 2018 01 11.
ISSN:1756-1833
País de publicación:England
Idioma:eng
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  2 / 4301 MEDLINE  
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PMID:27776740
Autor:Mills C; Sanchez A; Scurr J
Dirección:Department of Sport and Exercise Sciences, Spinnaker Building, University of Portsmouth, PO1 2ER, United Kingdom. Electronic address: chris.mills@port.ac.uk.
Título:Estimating the gravity induced three dimensional deformation of the breast.
Fuente:J Biomech; 49(16):4134-4137, 2016 12 08.
ISSN:1873-2380
País de publicación:United States
Idioma:eng
Resumen:As human breast tissue is continuously deformed by gravity, it is difficult to identify the non-loaded neutral breast position from which to take measurements. To estimate the neutral nipple position, this study proposed a simple novel method to counteract the three dimensional effect of gravity on the breast using the buoyant forces from water and soybean oil (ρ = 994kgm ; ρ = 909kgm ). Fourteen female participants with breast sizes ranging from 30 to 34in. under band and B to E cup size took part in this study. Each participant had their static gravity-loaded nipple position measured and their neutral nipple position estimated (as the midpoint between the nipple position during water and soybean oil immersion). Participants were asked to sit in each fluid and fully submerge their torso and breasts. The mean gravity-induced nipple displacements from the neutral nipple position were 15.3mm in the posterior direction, 7.4mm in the lateral direction, and 25.7mm in the inferior direction. Gravity had a significant (p < 0.05, r > 0.82) measurable effect on the static nipple position, particularly in the inferior and posterior directions. Furthermore the density difference between water and soybean oil produced a significant difference (p < 0.05, r = 0.72) in superior-inferior nipple position (5.6mm). These findings suggest that neglect of gravity-induced breast deformations may lead to errors when assessing breast position and its relationship to possible breast pain, and that water alone may not be sufficient to estimate the neutral nipple position.
Tipo de publicación:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T


  3 / 4301 MEDLINE  
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PMID:29211392
Autor:Buck ML; Eckereder G; Amir LH
Título:Low level laser therapy for breastfeeding problems.
Fuente:Breastfeed Rev; 24(2):27-31, 2016 Jul.
ISSN:0729-2759
País de publicación:Australia
Idioma:eng
Resumen:Breast and nipple pain, nipple damage and mastitis are common reasons given by women for their early cessation of breastfeeding. There are a limited number of effective therapies available to support healing of damaged nipples during lactation. Low level laser therapy is a painless treatment, which appears to accelerate wound healing and ease pain. We present two case studies, which demonstrate the use of low level laser therapy in clinical practice.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  4 / 4301 MEDLINE  
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PMID:29211391
Autor:McGuire E
Título:Feelings of failure: Early weaning.
Fuente:Breastfeed Rev; 24(2):21-6, 2016 Jul.
ISSN:0729-2759
País de publicación:Australia
Idioma:eng
Resumen:... it was horrible - a difficult, painful and agonizing process. ... Nothing I tried made it anything but torture. Finally, my son got a mouthful of blood, and I gave up. I felt like a failure. It added to my depression, made me question my ability to mother, and caused my infant to lose too much weight. (The American Dietetic Association's) position paper has no loopholes for us 'failures', no compassion for those of us too poor to rent an electric pump ... Could you please let us off the hook? (Saban, 2002, p. 24) I can't say what a devastating experience failing to breastfeed Bianca was for me. I was left feeling like I'd failed her as a mother, and even as a woman. I found it difficult to talk about, and was loath to bottle feed Bianca in public.
Tipo de publicación:JOURNAL ARTICLE


  5 / 4301 MEDLINE  
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PMID:28744750
Autor:Grobmyer SR; Djohan R
Dirección:Cleveland Clinic, Cleveland, OH, USA. grobmys@ccf.org.
Título:Comments on "Primary tumor location predicts the site of local relapse after nipple-areola complex (NAC) sparing mastectomy" by Cont et al. Breast Cancer Res Treat, 2017.
Fuente:Breast Cancer Res Treat; 166(1):323-324, 2017 11.
ISSN:1573-7217
País de publicación:Netherlands
Idioma:eng
Tipo de publicación:LETTER; COMMENT


  6 / 4301 MEDLINE  
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PMID:29202150
Autor:Baumgarten HD; Showalter SL; Rochman CM; Keim-Malpass J
Dirección:Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.
Título:Erythematous, friable nipple with loss of protrusion · history of breastfeeding · Dx?
Fuente:J Fam Pract; 66(12):758-760, 2017 Dec.
ISSN:1533-7294
País de publicación:United States
Idioma:eng
Resumen:A 34-year-old healthy woman presented to the breast surgical oncology clinic with skin changes to her left nipple after being referred by her primary care provider. She attributed the skin changes to shearing from breastfeeding her third child 5 years earlier. Physical examination revealed an erythematous and friable nipple with loss of protrusion. The patient reported routine bleeding from her nipple, but said the skin changes had remained stable and denied any breast masses. The patient's last mammogram was 2.5 years earlier and had only been remarkable for bilateral benign calcifications.
Tipo de publicación:CASE REPORTS


  7 / 4301 MEDLINE  
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PMID:29091571
Autor:Oide T; Mitsuishi T
Dirección:Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan oide.takashi@twmu.ac.jp.
Título:Pigmented Macule - A Skin Manifestation of Invasive Breast Cancer.
Fuente:N Engl J Med; 377(18):1777, 2017 Nov 02.
ISSN:1533-4406
País de publicación:United States
Idioma:eng
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  8 / 4301 MEDLINE  
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PMID:29064921
Autor:Colwell AS; Christensen JM
Dirección:Boston, Mass. From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School.
Título:Nipple-Sparing Mastectomy and Direct-to-Implant Breast Reconstruction.
Fuente:Plast Reconstr Surg; 140(5S Advances in Breast Reconstruction):44S-50S, 2017 Nov.
ISSN:1529-4242
País de publicación:United States
Idioma:eng
Resumen:Breast reconstruction following mastectomy has evolved to preserve the native skin and nipple of the breast and create a natural-appearing reconstruction in 1 or 2 surgeries. Nipple-sparing procedures appear to be oncologically safe with low risks of cancer recurrence. In our series of 2,182 nipple-sparing mastectomies, there was no development or recurrence of cancer in the nipple. Direct-to-implant single-stage surgery offers the patient a complete reconstruction at the time of mastectomy. Patient selection centers on preoperative breast anatomy combined with postoperative goals for size and uplift of the breast. The best candidates for nipple-sparing mastectomy and direct-to-implant breast reconstruction include those with grade I-II breast ptosis and those desiring to stay approximately the same breast size. The choice of incision and width of the implant play key roles in nipple centralization. Partial muscle coverage with acellular dermal matrix remains the most common technique to support the implant and offers the advantage of more soft-tissue coverage in the upper pole. With experience, complications and revisions are similar in this approach compared with more traditional 2-stage tissue expander-implant reconstruction. Thus, nipple-sparing mastectomy and direct-to-implant breast reconstruction is emerging as a preferred method of breast reconstruction when the breast skin envelope is sufficiently perfused.
Tipo de publicación:JOURNAL ARTICLE; REVIEW


  9 / 4301 MEDLINE  
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PMID:28973707
Autor:Orcutt ST; O'Donoghue C; Smith P; Laronga C
Dirección:From the Department of Breast Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, and the Department of Plastic Surgery, University of South Florida, Tampa.
Título:Expanding Eligibility Criteria for Nipple-Sparing Mastectomy.
Fuente:South Med J; 110(10):654-659, 2017 Oct.
ISSN:1541-8243
País de publicación:United States
Idioma:eng
Resumen:The use of mastectomy has increased in patients who are high-risk genetic carriers who need or desire mastectomy for prophylactic reasons, as well as for patients who have breast cancer and need or desire mastectomy for treatment of their cancer. Retaining the nipple and skin with a nipple-sparing mastectomy results in improved patient satisfaction as compared with traditional mastectomy, without compromise of oncologic principles. This technique has been performed in patients with small, peripherally located tumors and nonptotic breasts; in recent years, however, consideration has been given to patients with more centrally located, larger tumors, and patients undergoing radiation or with ptotic breasts with the potential for poor cosmetic outcome. As the use of nipple-sparing mastectomy increases, it is important to continually assess the eligibility of patients for this technique.
Tipo de publicación:JOURNAL ARTICLE


  10 / 4301 MEDLINE  
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PMID:28920659
Autor:Whitacre E; McNally M; Nagle J
Título:Coding for nipple-sparing and skin-sparing mastectomies.
Fuente:Bull Am Coll Surg; 102(3):29-30, 2017 03.
ISSN:0002-8045
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE



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