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Breast-conserving Surgery
Breast-conserving surgery refers to an operation that aims to remove breast cancer while avoiding a mastectomy. Different forms of this operation include: lumpectomy (tylectomy), wide local excision, segmental resection, and quadrantectomy. Breast-conserving surgery has been increasingly accepted as an alternative to mastectomy in specific patients, as it provides tumor removal while maintaining an acceptable cosmetic outcome. This page reviews the history of this operation, important considerations in decision making and patient selection, and the emerging field of oncoplastic breast conservation surgery. Medical uses For clinical stages I and II breast cancer, breast-conserving surgery, with radiotherapy and possibly chemotherapy may be indicated if one or two sentinel lymph nodes are found to have cancer which is not extensive. In this case, the sentinel lymph nodes would be examined, and lymphadenectomy as further evaluation is not indicated as this result from the sent ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgery
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Mary Beth Landrum
Mary Elizabeth Landrum is a British-American statistician specializing in biostatistics, examining health services and the quality of health care delivery. She is a professor in the Department of Health Care Policy of the Harvard Medical School. Education and career Landrum is originally from London. She majored in chemical engineering at the Massachusetts Institute of Technology, graduating in 1987, and then studied biostatistics at the University of Michigan, earning a master's degree in 1992 and completing her Ph.D. in 1995. After postdoctoral research in the Department of Health Care Policy of the Harvard Medical School, she was hired by the department as an assistant professor in 1998. She was promoted to associate professor in 2005 and full professor in 2012. Landrum's research focus is on the development and application of statistical methodology for health services research. She studies health care delivery, specifically examining the impact of provider characteri ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Umberto Veronesi
Umberto Veronesi (; 28 November 1925 – 8 November 2016) was an Italian oncologist, physician, scientist, and politician, internationally known for his contributions on prevention and treatment of breast cancer throughout a career spanning over fifty years. He was the founder and president of the Umberto Veronesi Foundation. He also founded and held the role of scientific director and scientific director emeritus of the European Institute of Oncology. During his life and career, Veronesi was awarded a number of prizes for his contributions. Veronesi was the scientific director of the National Cancer Institute in Milan from 1976 to 1994. His clinical and research activity focused on the prevention and treatment of cancer. In particular, he dealt with breast cancer, the leading cause of cancer death in women, and was the first theorist and staunch proponent of quadrantectomy; he demonstrated how in the majority of cases the survival curves of this technique, provided it is combin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Radical Mastectomy
Radical mastectomy is a surgical procedure that treats breast cancer by removing the breast and its underlying chest muscle (including pectoralis major and pectoralis minor), and lymph nodes of the axilla (armpit). Breast cancer is the most common cancer among women. In the early twentieth century, it was primarily treated by surgery, which is when the mastectomy was developed. However, with the advancement of technology and surgical skills in recent years, mastectomies have become less invasive. , a combination of radiotherapy and breast-conserving mastectomy are considered optimal treatment. Radical mastectomy Halsted and Meyer were the first to achieve successful results with the radical mastectomy, thus ushering in the modern era of surgical treatment for breast cancer. In 1894, William Halsted published his work with radical mastectomy from the 50 cases operated at Johns Hopkins between 1889 and 1894. Willy Meyer also published research on radical mastectomy from his ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgical Oncology
Surgical oncology is the branch of surgery applied to oncology; it focuses on the surgical management of tumors, especially cancerous tumors. As one of several modalities in the management of cancer, the specialty of surgical oncology has evolved in steps similar to medical oncology (pharmacotherapy for cancer), which grew out of hematology, and radiation oncology, which grew out of radiology. The Ewing Society—known today as the Society of Surgical Oncology—was started by surgeons interested in promoting the field of oncology. In 2011, the American Board of Surgery ratified Complex General Surgical Oncology via a specialty Board certification. The field was expected to continue expanding via the proliferation of cancer centers, as well as advanced minimally invasive techniques, palliative surgery, and neo-adjuvant treatments. Debate Whether surgical oncology qualifies as a distinct medical specialty remains a topic of heated debate. Today, many agree that it is impractica ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Rheumatoid Arthritis
Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and hands are involved, with the same joints typically involved on both sides of the body. The disease may also affect other parts of the body, including skin, eyes, lungs, heart, nerves, and blood. This may result in a anemia, low red blood cell count, pleurisy, inflammation around the lungs, and pericarditis, inflammation around the heart. Fever and low energy may also be present. Often, symptoms come on gradually over weeks to months. While the cause of rheumatoid arthritis is not clear, it is believed to involve a combination of genetic and environmental factors. The underlying mechanism involves the body's immune system attacking the joints. This results in inflammation and thickening of the synovium, joint capsule. It also affects the und ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Systemic Lupus Erythematosus
Lupus, formally called systemic lupus erythematosus (SLE), is an autoimmune disease in which the body's immune system mistakenly attacks healthy tissue in many parts of the body. Symptoms vary among people and may be mild to severe. Common symptoms include painful and swollen joints, fever, chest pain, hair loss, mouth ulcers, swollen lymph nodes, feeling tired, and a red rash which is most commonly on the face. Often there are periods of illness, called flares, and periods of remission during which there are few symptoms. Children up to 18 years old develop a more severe form of SLE termed childhood-onset systemic lupus erythematosus. The cause of SLE is not clear. It is thought to involve a combination of genetics and environmental factors. Among identical twins, if one is affected there is a 24% chance the other one will also develop the disease. Female sex hormones, sunlight, smoking, vitamin D deficiency, and certain infections are also believed to increa ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sjögren Syndrome
Sjögren is a Swedish surname. Notable people with the surname include: * Anders Johan Sjögren (1794–1855), Finnish linguist, historian, ethnographer and explorer * Ann Mari Sjögren, Swedish fantasy artist and illustrator * Christer Sjögren, Swedish dansband and rock singer * Emil Sjögren (1853–1918), Swedish composer * Gunnar A. Sjögren (1920-1996), Swedish engineer who worked for Saab * Henrik Sjögren (1899–1986), Swedish ophthalmologist for whom Sjögren's syndrome was named, an autoimmune disorder leading to dry eyes and mouth * Hjalmar Sjögren, Swedish geologist and mineralogist * John C. Sjogren, United States Army soldier who received the Medal of Honor in World War II * John M. Sjogren American film director * Karin Sjögren (born 1960), Swedish curler, World and European champion * Katrin Sjögren (born 1966), Finnish politician from the Åland Islands * Peder Sjögren (1905–1966), Swedish writer who fought in the Spanish Civil War * Peter Sjögren, Swe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Scleroderma
Scleroderma is a group of autoimmune diseases that may result in changes to the skin, blood vessels, muscles, and internal organs. The disease can be either localized to the skin or involve other organs, as well. Symptoms may include areas of thickened skin, stiffness, feeling tired, and poor blood flow to the fingers or toes with cold exposure. One form of the condition, known as CREST syndrome, classically results in calcium deposits, Raynaud's syndrome, esophageal problems, thickening of the skin of the fingers and toes, and areas of small, dilated blood vessels. The cause is unknown, but it may be due to an abnormal immune response. Risk factors include family history, certain genetic factors, and exposure to silica. The underlying mechanism involves the abnormal growth of connective tissue, which is believed to be the result of the immune system attacking healthy tissues. Diagnosis is based on symptoms, supported by a skin biopsy or blood tests. While no cure ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Relative Contraindication
In medicine, a contraindication is a condition (a situation or factor) that serves as a reason not to take a certain medical treatment due to the harm that it would cause the patient. Contraindication is the opposite of indication, which is a reason to use a certain treatment. Absolute contraindications are contraindications for which there are no reasonable circumstances for undertaking a course of action (that is, overriding the prohibition). For example: * Children and teenagers with viral infections should not be given aspirin because of the risk of Reye syndrome. * A person with an anaphylactic food allergy should never eat the food to which they are allergic. * A person with hemochromatosis should not be administered iron preparations. * Some medications are so teratogenic that they are absolutely contraindicated in pregnancy; examples include thalidomide and isotretinoin. Relative contraindications are contraindications for circumstances in which the patient is at higher ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Microcalcification
Microcalcifications are tiny Calculus (medicine), deposits of calcium salts that are too small to be felt but can be detected by medical imaging, imaging. They can be scattered throughout the mammary gland, or occur in clusters. Microcalcifications can be an early sign of breast cancer. Based on morphology, it is possible to classify by radiography how likely microcalcifications are to indicate cancer. In breast Microcalcifications in the breast are made up of calcium phosphate or calcium oxalate. When consisting of calcium phosphate, they are usually dystrophic calcifications (occurring in degenerated or necrotic tissue). Yet, the mechanism of their formation is not fully known. Calcium oxalate crystals in the breast may be seen on mammography and are usually benign, but can be associated with lobular carcinoma in situ. Last author update: 1 June 2010 Microcalcification was first described in 1913 by surgeon Albert Salomon (surgeon), Albert Salomon. File:Histopathology of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
