Base de datos : MEDLINE
Búsqueda : A01.236.500 [Categoria DeCS]
Referencias encontradas : 4248 [refinar]
Mostrando: 1 .. 10   en el formato [Largo]

página 1 de 425 va a la página                         

  1 / 4248 MEDLINE  
              next record last record
selecciona
para imprimir
Fotocopia
Texto completo
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


  2 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28841598
Autor:Gabriel A; Maxwell GP
Dirección:Loma Linda, Calif.; and Vancouver, Wash. From the Department of Plastic Surgery, Loma Linda University Medical Center; and PeaceHealth Plastic Surgery.
Título:Discussion: Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy.
Fuente:Plast Reconstr Surg; 140(3):444-446, 2017 09.
ISSN:1529-4242
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE; COMMENT


  3 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28582336
Autor:Altundag K
Dirección:MKA Breast Cancer Clinic, Tepe Prime, Cankaya, 06800 Ankara, Turkey, altundag66@yahoo.com.
Título:Breast Cancer Molecular Subtypes and Chemotherapy Schedules Used in Neoadjuvant or Adjuvant Setting May Show Different Effects in Nipple-Sparing Mastectomy.
Fuente:Plast Reconstr Surg; 140(3):495e, 2017 09.
ISSN:1529-4242
País de publicación:United States
Idioma:eng
Tipo de publicación:LETTER; COMMENT


  4 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28582332
Autor:Frey JD; Choi M; Karp NS
Dirección:Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, N.Y.
Título:Reply: The Effect of Neoadjuvant Chemotherapy Compared to Adjuvant Chemotherapy in Healing after Nipple-Sparing Mastectomy.
Fuente:Plast Reconstr Surg; 140(3):495e-496e, 2017 09.
ISSN:1529-4242
País de publicación:United States
Idioma:eng
Tipo de publicación:LETTER; COMMENT


  5 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28574950
Autor:Sbitany H; Piper M; Lentz R
Dirección:San Francisco, Calif. From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, San Francisco.
Título:Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy.
Fuente:Plast Reconstr Surg; 140(3):432-443, 2017 Sep.
ISSN:1529-4242
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND: Nipple-sparing mastectomy with immediate prosthetic reconstruction is routinely performed because of excellent aesthetic results and safe oncologic outcomes. Typically, subpectoral expanders are placed, but in select patients, this can lead to significant postoperative pain and animation deformity, caused by pectoralis major muscle disinsertion and stretch. Prepectoral reconstruction is a technique that eliminates dissection of the pectoralis major by placing the prosthesis completely above the muscle with complete acellular dermal matrix coverage. METHODS: A single surgeon's experience with immediate prosthetic reconstruction following nipple-sparing mastectomy from 2012 to 2016 was reviewed. Patient demographics, adjuvant treatment, length and characteristics of the expansion, and incidence of complications during the tissue expander stage were compared between the partial submuscular/partial acellular dermal matrix (dual-plane) cohort and the prepectoral cohort. RESULTS: Fifty-one patients (84 breasts) underwent immediate prepectoral tissue expander placement, compared with 115 patients (186 breasts) undergoing immediate partial submuscular expander placement. The groups had similar comorbidities and postoperative radiation exposure. There was no significant difference in overall complication rate between the two groups (17.9 percent versus 18.8 percent; p = 0.49). CONCLUSIONS: Prepectoral breast reconstruction provides a safe and effective alternative to partial submuscular reconstruction, that yields comparable aesthetic results with less operative morbidity. In the authors' experience, the incidence of acute and chronic postoperative pain and animation deformity is significantly lower following prepectoral breast reconstruction. This technique is now considered for all patients who are safe oncologic candidates and are undergoing nipple-sparing mastectomy and prosthetic reconstruction. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
Tipo de publicación:JOURNAL ARTICLE


  6 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28841691
Autor:Li M; Chen K; Liu F; Su F; Li S; Zhu L
Dirección:Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, Fujian, China.
Título:Nipple sparing mastectomy in breast cancer patients and long-term survival outcomes: An analysis of the SEER database.
Fuente:PLoS One; 12(8):e0183448, 2017.
ISSN:1932-6203
País de publicación:United States
Idioma:eng
Resumen:PURPOSE: To determine the prevalence of nipple-sparing mastectomy (NSM) and its long-term survival outcomes in breast cancer patients. METHOD: We used the Surveillance, Epidemiology, and End Results database and identified 2,440 breast cancer patients who received NSM during 1998-2013. We used chi-square and binary logistic regression to identify factors associated with the use of radiotherapy after NSM. We used Kaplan-Meier analysis to estimate cancer-specific survival (CSS) and overall survival (OS). We used the log-rank test and Cox regression to identify factors associated with CSS and OS. RESULTS: The median age of the population was 50 years. There were 725 (29.7%), 1064 (43.6%) and 651 (26.7%) patients who had Tis, T1 and T2-3 disease and 1943 (79.6%), 401 (16.4%) and 96 (3.9%) patients who had N0, N1 and N2-3 disease, respectively. The rates of RT use were 61.4%, 39.6% and 10.9% in patients with N2-3 disease, N1 or T3/N0 disease and Tis/T1-2N0 disease, respectively. Elderly age, African American race, and higher T-stage and N-stage were associated with receiving radiotherapy. For patients diagnosed between 1998-2010 (N = 763), the median follow-up was 69 months. The 5- and 10-yr CSS were 96.9% and 94.9%, respectively. The 5- and 10-yr OS were 94.1% and 88.0%, respectively. Ethnicity, T-stage and N-stage were factors independently associated with CSS, and age and T-stage were factors independently associated with OS. CONCLUSIONS: The use of NSM has increased, and it is oncologically safe for breast cancer patients.
Tipo de publicación:JOURNAL ARTICLE


  7 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
Texto completo
PMID:28029375
Autor:Scott-Conner CE; Sugg SL; Lizarraga I
Dirección:Division of Surgical Oncology, Department of Surgery, University of Iowa Carver College of Medicine, 4622 JCP, 200 Hawkins Drive, Iowa City, IA 52242-1086 USA. Electronic address: Carol-scott-conner@uiowa.edu.
Título:Invited commentary on "outcomes and feasibility of nipple-sparing mastectomy for node-positive breast cancer patients" by Murphy et al.
Fuente:Am J Surg; 213(4):814-815, 2017 04.
ISSN:1879-1883
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE; COMMENT


  8 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
PMID:28329595
Autor:Vide J; César A; Rodrigues Pereira P; Azevdo F
Dirección:Serviço de Dermatologia e Venereologia, Centro Hospitalar de São João EPE, Porto, Portugal. juliavide@gmail.com.
Título:Pigmented lesion of the nipple - a clinicopathological challenge.
Fuente:Dermatol Online J; 22(10), 2016 Oct 15.
ISSN:1087-2108
País de publicación:United States
Idioma:eng
Resumen:Differential diagnoses of pigmented lesions of the nipple include melanocytic nevus, melanosis of the nipple, seborrheic keratosis, pigmented basal cell carcinoma, melanoma and Paget disease. The histologic exam with appropriate immunohistochemistry is a fundamental tool to achieve a correct diagnosis. We present a patient with a pigmented lesion of her right nipple revealing mammary Paget disease and elucidate diagnostic obstacles and prognostic importance of early breast cancer detection.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
Nombre de substancia:0 (HMB-45 protein, human); 0 (Keratin-7); 0 (Melanoma-Specific Antigens); 0 (S100 Proteins)


  9 / 4248 MEDLINE  
              first record previous record next record last record
selecciona
para imprimir
Fotocopia
PMID:28329589
Autor:Victoria Martínez AM; Sánchez Carazo JL; Alegre de Miquel V
Dirección:General University Hospital of Valencia, Valencia, Spain. anamercevictoria@gmail.com.
Título:Superficial angiomyxoma of the nipple: a case report of an infrequent cutaneous tumour.
Fuente:Dermatol Online J; 22(10), 2016 Oct 15.
ISSN:1087-2108
País de publicación:United States
Idioma:eng
Resumen:Superficial angiomyxoma is a distinctive cutaneous soft tissue neoplasm that is clinically variable, infrequent, and benign. However, this tumor has a high propensity for local recurrence. There is a known association of angiomyxomas with Carney complex. We report a case of superficial angiomyxoma in a 28-year-old woman who presented with an erythematous, mul-tilobulated nodule on the nipple. This tumor has a predilection for the trunk, head and neck, extremities, and genitalia. The present case, hence, is unusual, because the lesion developed on the nipple. The appearance of a solitary cutaneous angiomyx-oma warrants an examination to rule out the presence of Carney complex. After clinical examination, echocardiogram and en-docrine analyses, Carney complex was ruled out in our patient.
Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE


  10 / 4248 MEDLINE  
              first record previous record
selecciona
para imprimir
Fotocopia
Texto completo
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



página 1 de 425 va a la página                         
   


Refinar la búsqueda
  Base de datos : MEDLINE Formulario avanzado   

    Buscar en el campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPS/OMS - Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud