Oncoplastic and Reconstructive Surgery of the Breast

This new edition provides a comprehensive and contemporary account of techniques in oncoplastic and reconstructive breast surgery. Uniquely, this book includes short, concise chapters containing only the most critical information. Many of the chapters are entitled " My Approach." and this enables the reader to become integrated into the clinical practice of the world's breast experts. The true multidisciplinary nature of the book ensures that the perspectives of all members of the breast cancer team are included. This transfer of knowledge between disciplines leads to improved patient care and the integration of multidisciplinary treatment, thus providing an educational and practical multidisciplinary breast cancer book for practicing breast cancer doctors and trainees worldwide.

Table of Contents

Section 1.General trends, principles, and materials 1. Latest trends in breast reconstruction 2. The biological rationale for oncoplastic surgical procedures 3. Biological reactions to reconstructive materials. Editorial Commentary. Section 2. Patient selection - breast conserving surgery or mastectomy? 4.Oncological considerations 5. Reconstructive perspectives 6. Patients’ perspectives. Editorial Commentary. 7. Pre-operative radiological assessment 8. Oncological parenchymal resection 9. Intra-operative assessment. Editorial Commentary. Section 3. Breast conserving surgery and partial breast reconstruction (oncoplastic repair) 10. Timing of oncoplastic repair 11. Immediate repair before radiotherapy 12. Positive permanent surgical margins (re-excision or completion mastectomy)? 13. Delayed oncoplastic repair - before radiotherapy 14. Delayed oncoplastic repair - after radiotherapy. Editorial Commentary. Section 4. Skin-preserving mastectomy 15. Mastectomy and whole breast reconstruction: skin-sparing versus nipple-sparing mastectomy 16. Nipple-sparing mastectomy. Editorial Commentary. Section 5. Mastectomy and whole breast reconstruction (timing and patient selection) 17. Timing of reconstruction. Editorial Commentary. 18. How to choose the optimal method of whole breast reconstruction. Editorial Commentary. Section 6. Mastectomy and whole breast reconstruction (methods and techniques) 19. Implant-based whole breast reconstruction (without irradiation) 20. Implant-based whole breast reconstruction (with irradiation) 21. Fat-grafting exclusively for whole breast reconstruction. Editorial Commentary 22. Standard autologous tissue flaps for whole breast reconstruction. Editorial Commentary 23. Advanced autologous tissue flaps for whole breast reconstruction. Editorial Commentary. Section 7. Revisional breast reconstruction (following both partial and whole breast reconstruction) 24. Breast revision following breast conservation and oncoplastic repair 25. Breast revision after implant-based breast reconstruction 26. Breast revision after mastectomy, whole breast reconstruction, and postmastectomy radiation therapy. Editorial Commentary. Section 8. Techniques for delivery of radiotherapy 27. Partial or whole breast radiotherapy after breast conserving surgery? 28. Postmastectomy radiotherapy after whole breast reconstruction 29. Partial breast radiotherapy after partial mastectomy 30.Whole breast radiotherapy (boost) after partial mastectomy. Editorial Commentary. Section 9. Techniques for lymph node transfer 31. Transfer of lymph node tissue. Section 10. Nipple-areola complex reconstruction. Editorial Commentary. Section 11. Training 33. The Modern Specialist Breast Surgeon 34. Breast surgical training. Editorial Commentary.

Professor John Benson is a Consultant Breast Surgeon in the Cambridge Breast Unit at Addenbrooke’s Hospital, Cambridge, UK. He received his basic medical degree from Oxford University Clinical School and has been awarded doctorates from both Oxford and Cambridge Universities [DM (Oxon); MD (Cantab)]. He was a research fellow at The Royal Marsden Hospital and Institute of Cancer Research, London and undertook internships both at the Royal Marsden Hospital in Surrey and the Chelsea and Westminster Hospital, London, UK. Further experience was gained in management of breast diseases as Visiting Professor at the New York Hospital - Cornell Medical Centre. Professor Benson is a Fellow of Selwyn College, Cambridge where he is also Director of Clinical Studies, Associate Lecturer, University of Cambridge and Professor of Applied Surgical Sciences at Anglia Ruskin University, Cambridge, UK. He is a member of the Panel of Examiners, Intercollegiate MRCS Examination (Royal College of Surgeons of Edinburgh) and was appointed a Regional Breast Tutor by The Royal College of Surgeons of England. He is a Fellow of the Royal College of Surgeons of England, a Fellow of the Royal College of Surgeons of Edinburgh and a member of the British Breast Group. His clinical practice is devoted entirely to patients with breast diseases and current research interests include investigation of a fluorescent navigation system for sentinel lymph node detection in early breast cancer patients. He has published three papers in the past 3 years on this topic – all in American journals and one of these a leading commentary summarizing where we are and where we are going with this technology (Annal of Surgical Oncology). Professor Benson is principle investigator for two national breast cancer trials (POSNOC and MarginProbe) and regularly acts as reviewer for major grant giving bodies (Cancer Research UK, Medical Research Council, Breast Cancer Now and NIHR).