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Concepts in Breast and Melanoma Surgery

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Chassin's Operative Strategy in General Surgery

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Abstract

Breast cancer and melanoma are among the most common conditions treated by surgeons. For both disorders, surgeons must be familiar with the diagnosis, evaluation, and treatment of related benign conditions and with all aspects of the multidisciplinary care of these cancers. This is critical so that surgeons who are often the initial provider for these cancers appropriately integrate surgery with all aspects of care including adjuvant systemic and radiation therapy. For breast cancer, needle biopsy is the proper initial biopsy in virtually all cases. For both ductal carcinoma in situ and invasive cancer, breast-conserving therapy (BCT) provides equivalent outcome to mastectomy and is the most common treatment. Radiation is required in most cases of BCT and in cases of large cancers and/or positive nodes with mastectomy. Recently reported clinical trials with sentinel node biopsy have refined lymph node surgery by eliminating the need for axillary dissection in women with negative nodes and many with positive nodes. For melanoma, critical issues include understanding the optimal margin width necessary for resection based on the characteristics of the primary lesion. In addition, a thorough understanding of the risk and therapeutic impact of lymph node metastasis is necessary to allow proper planning of lymph node surgery with SLNB and completion node dissection. This chapter addresses these and other key issues in surgical management of these diseases.

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Acknowledgement

The chapter on Concepts in Breast Surgery was contributed by Alison Estabrook, MD, in the previous edition.

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Authors and Affiliations

  1. Baptist Cancer Center, Baptist Memorial Health Care Corporation, 80 Humphreys Blvd, Memphis, TN, 38120, USA

    Stephen B. Edge MD

  2. Department of Surgical Oncology, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY, 14263, USA

    Lyndsay A. Gutierrez MD, Sartaj S. Sanghera MD & Joseph J. Skitzki MD

Authors
  1. Lyndsay A. Gutierrez MD
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  2. Sartaj S. Sanghera MD
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  3. Joseph J. Skitzki MD
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  4. Stephen B. Edge MD
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Corresponding author

Correspondence to Stephen B. Edge MD .

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Editors and Affiliations

  1. College of Medicine Department of Surgery, University of Iowa Roy J and Lucille A Carver, Iowa City, Iowa, USA

    Carol E.H. Scott-Conner

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Gutierrez, L.A., Sanghera, S.S., Skitzki, J.J., Edge, S.B. (2014). Concepts in Breast and Melanoma Surgery. In: Scott-Conner, C. (eds) Chassin's Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1393-6_109

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  • DOI: https://doi.org/10.1007/978-1-4614-1393-6_109

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1392-9

  • Online ISBN: 978-1-4614-1393-6

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