breast-conserving surgery

• 乳房温存手術

関

lumpectomy

WordNet

1. surgical removal of a tumor without removing much of the surrounding tissue or lymph nodes; performed in some cases of breast cancer
2. meet at breast level; "The runner breasted the tape"
3. the part of an animals body that corresponds to a persons chest
4. either of two soft fleshy milk-secreting glandular organs on the chest of a woman (同)bosom, knocker, boob, tit, titty
5. the front of the trunk from the neck to the abdomen; "he beat his breast in anger" (同)chest
6. meat carved from the breast of a fowl (同)white_meat
7. a room where a doctor or dentist can be consulted; "he read the warning in the doctors surgery"
8. the branch of medical science that treats disease or injury by operative procedures; "he is professor of surgery at the Harvard Medical School"
9. see ones performance improve; "He levelled the score and then surged ahead"
10. a sudden or abrupt strong increase; "stimulated a surge of speculation"; "an upsurge of emotion"; "an upsurge in violent crime" (同)upsurge
11. having a breast or breasts; or breasts as specified; used chiefly in compounds; "small-breasted"; "red-breasted sandpiper"

PrepTutorEJDIC

1. 『胸』,『胸部』;(服の)胸部 / 『乳房』,乳 / 《文》胸中,心紳 / …'を'胸に受ける,胸に受けて進む / …‘に'雄々しく立ち向かう
2. 〈U〉『外科,』外科医術 / 〈U〉手術 / 〈C〉《英》診察室;〈C〉〈U〉診察時間
3. 波のように押し寄せる,殺到する / 〈感情が〉こみあげる《+up》 / 急増する,〈株などが〉急騰する / (…が)押し寄せること,(…の)襲来,殺到《+of+名》 / (感情の)高まり,急増,急騰

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/04/14 22:02:44」(JST)

wiki en

[Wiki en表示]

Breast-conserving surgery
Intervention
Breast-conserving surgery avoids removing the entire breast
ICD-9-CM	85.21-85.23
MeSH	D015412

Breast-conserving surgery (BCS, also known as breast conservation surgery and segmental mastectomy) is a less radical cancer surgery than mastectomy. Breast-conserving surgery, as in a lumpectomy removes part of the breast tissue during surgery, as opposed to the entire breast.

Indications

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 sentinel lymph nodes is sufficient to recommend treatment.

Contraindications

In the selection of patients for breast conservation treatment with radiation, there are some absolute and relative contraindications.

Absolute contraindications

Absolute contraindications, which are reasons why the procedure absolutely cannot be done, include:

1. Pregnancy is an absolute contraindication to the use of breast irradiation. In some cases, it may be possible to perform breast-conserving surgery in the third trimester and treat the patient with radiation after delivery.

2. Two or more primary tumors in separate quadrants of the breast or with diffuse malignant-appearing microcalcifications.

3. A history of prior therapeutic irradiation to the breast that would require re-treatment to an excessively high total dose.

4. Persistent positive margins after reasonable surgical attempts: the importance of a single focally positive microscopic margin needs further study and may not be an absolute contraindication.

Breast conserving therapy

Breast conserving therapy (BCT) is the process of following up BCS with moderate dose radiation therapy in order to eliminate residual disease in the breast and decrease the likelihood of disease recurrence. The goal of this process is to give the patient an equivalent survival rate to mastectomy while limiting cosmetic damage caused by surgery. Six recent clinical trials concluded that BCT was successful in that goal. However, not all patients are suitable for BCT and for some mastectomy may still be required (cf. Contraindications).

References

External links

• American Academy of Family Physicians, Breast-Conserving Surgery, What is breast-conserving surgery?
• Breast conserving surgery at National Breast and Ovarian Cancer Centre www.nbocc.org

UpToDate Contents

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• 1. 乳房温存療法 breast conserving therapy
• 2. 乳房温存手術におけるオンコプラスティックテクニック oncoplastic techniques in breast conserving surgery
• 3. 非転移性新規乳癌女性に対する術後放射線療法 adjuvant radiation therapy for women with newly diagnosed non metastatic breast cancer
• 4. 乳房切除：適応、種類、および切除時の腋窩リンパ節マネージメント mastectomy indications types and concurrent axillary lymph node management
• 5. 乳癌における診断、ステージング、およびリンパ節評価におけるセンチネルリンパ節生検の役割 diagnosis staging and the role of sentinel lymph node biopsy in the nodal evaluation of breast cancer

English Journal

• Breast conserving surgery using the round block technique combined with partial reconstruction using the latissimus dorsi flap.

• Zaha H, Onomura M.SourceDepartment of Breast Surgery, Nakagami Hospital, 6-25-5 Chibana, Okinawa-City, Okinawa, Japan. Electronic address: hisamitu@nakagami.or.jp.
• Breast (Edinburgh, Scotland).Breast.2013 Feb;22(1):98-9. doi: 10.1016/j.breast.2012.10.010. Epub 2012 Nov 15.
• The round block technique (RBT) is one of the frequently used volume displacement procedures in oncoplastic breast surgery. We report a useful technique which combines RBT with immediate partial breast reconstruction using the latissimus dorsi flap (LD flap) for breast-conserving surgery (BCS). A wi
• PMID 23159213

• Breast cancer management and outcome according to surgeon's affiliation: a population-based comparison adjusted for patient's selection bias.

• Taban F, Rapiti E, Fioretta G, Wespi Y, Weintraub D, Hugli A, Schubert H, Vlastos G, Castiglione M, Bouchardy C.SourceSONGe (Séno ONcologie Genevoise), Geneva Private Practitioners Breast Cancer Network, Geneva.
• Annals of oncology : official journal of the European Society for Medical Oncology / ESMO.Ann Oncol.2013 Jan;24(1):116-25. doi: 10.1093/annonc/mds285. Epub 2012 Sep 3.
• Background Studies have reported that breast cancer (BC) units could increase the quality of care but none has evaluated the efficacy of alternative options such as private BC networks, which is our study objective. Patients and methods We included all 1404 BC patients operated in the public unit o
• PMID 22945380

• Oncological safety of autologous lipoaspirate grafting in breast cancer patients: a systematic review.

• Krastev TK, Jonasse Y, Kon M.SourceDepartment of Cardiothoracic Surgery, Academic Medical Center, Amsterdam, The Netherlands, todor.k.krastev@gmail.com.
• Annals of surgical oncology.Ann Surg Oncol.2013 Jan;20(1):111-9. doi: 10.1245/s10434-012-2565-2. Epub 2012 Aug 10.
• BACKGROUND: Autologous lipoaspirate grafting (ALAG) has become a widely used treatment in breast reconstruction after mastectomy (MST) or breast-conserving treatment (BCT), although there is an ongoing debate about its oncological safety. The aim of this systematic review was to identify, evaluate,
• PMID 22878615

Japanese Journal

• 乳癌局所再発との鑑別を要した乳房clear cell hidradenomaの1例

• 臨床外科 = Journal of clinical surgery
• NAID 40020991155

• 乳房温存手術後変形に対する二次的乳房形成術

• 形成外科 59(1), 60-67, 2016-01
• NAID 40020707570

• 乳房切除術と乳房温存術 (特集 乳癌診療の現況からみた将来)

• 日本外科学会雑誌 = Journal of Japan Surgical Society 117(6), 491-496, 2016
• NAID 40021023615

Related Links

• Surgery for breast cancer

Most women with breast cancer have some type of surgery. Surgery is often needed to remove a breast tumor. Options for this include breast-conserving surgery and mastectomy. The breast can be reconstructed at the same time as ...

• Breast-Conserving Surgery (Lumpectomy or Partial ...

Breast-conserving surgery removes the cancer and surrounding tissue. The goal is to take just enough tissue so that the breast looks as normal as possible after the surgery but the chance of the cancer coming back is ...

Related Pictures

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★リンクテーブル★

リンク元	「乳房温存手術」
関連記事	「surgery」「breast」

「乳房温存手術」

　　[★]

英

breast-conserving surgery

関

乳腺腫瘍摘出術

「surgery」

　　[★]

• n.

• 手術、外科手術、外科術、(接尾語として)術、(学問領域の)外科学、外科

関

operate、operation、surgical

　 　 　

「breast」

　　[★]

• n.

• 胸、胸部
• 乳房