Annals of surgical oncology
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The role of magnetic resonance imaging (MRI) in preoperative planning for women diagnosed with breast cancer remains controversial. The risks and benefits in women with newly diagnosed ductal carcinoma in situ (DCIS) are largely unknown. ⋯ Our data show that MRI does not significantly decrease reexcision rates or conversion to mastectomy after attempted breast-conservation surgery. Based on our findings, we do not believe preoperative MRI adds benefit to the care of this patient population. Prospective trials are necessary to further investigate the risks and benefits of preoperative MRI in women with DCIS.
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The ACOSOG Z0011 trial has been described as practice-changing. The goal of this study was to determine the impact of the trial on surgeon practice patterns at our institution. ⋯ Surgeons at our institution have implemented Z0011 results for the majority of patients; however, clinicopathologic factors still impact the decision to perform ALND. Z0011 results have significantly impacted practice by decreasing rates of ALND, use of intraoperative nodal evaluation, and operative times.
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Biography Historical Article
Society of Surgical Oncology Heritage Award: honoring William C. Wood, MD.
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Clinical Trial
Reconstruction patterns in a single institution cohort of women undergoing mastectomy for breast cancer.
The purpose of the current study was to conduct a patient-centered investigation of reconstruction practices following mastectomy at our institution. ⋯ A significant percentage of women undergoing unilateral or bilateral mastectomy for breast cancer at our institution elect to undergo reconstruction. Prosthetic reconstruction was the most common method utilized. The impetus for referral to the reconstructive surgeon was nearly always initiated by the surgical oncologist.
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Comparative Study
Cost comparison of radiation treatment options after lumpectomy for breast cancer.
Radiation therapy (RT) after lumpectomy for breast cancer can be delivered with several different regimens. We evaluated a cost-minimization strategy to select among RT options. ⋯ A cost-minimization strategy results in a 43 % reduction in estimated radiation costs among women undergoing breast conservation.