@DrJamesJakub@MayoClinicSurg 👍 Another option is submucosal flap or double flap technique after proximal gastrectomy, first proposed by Kamikawa in Japan. It has received a growing interest in Asian countries as opposed to double tract reconstruction
Rally for Kids: A successful pickleball tournament fundraiser for St. Vincent Children’s Hospital! My partner and I were proud to take 2nd place. Hoping to see even more physicians join in next time
@ASBrS What a great meeting and reunion with @UIowa_Surgery mentors, colleagues and friends ! Continue to learn new techniques , keep up with the updates from the experts and provide breast cancer patients in the community with the best care.
Early-stage TNBC who did not undergo adjuvant or neoadjuvant chemotherapy, breast cancer tissue with a higher abundance of tumor infiltrating lymphocyte (TIL) levels was associated with significantly better survival.5-yr OS 95% vs 82%. DOI: 10.1001/jama.2024.3056. ->guide chemo
@MDingIt2023@clemensmd@KellyKhunt Agree. Many medical oncologists still don’t know why we need 2mm margin for DCIS but no margin on ink for invasive tumor
Women with atypia detected more recently have lower rates of subsequent cancers detected, which might be associated with changes to mammography and biopsy techniques identifying forms of atypia that are more likely to represent overdiagnosis. BMJ DOI: 10.1136/bmj-2023-077039
Thank you Dr.Chatterjee, Dr. Czerniecki putting together this amazing oncoplastic course, Dr.Homsy and all the faculties for the wonderful presentations. As a breast surgeon always enthusiastic at oncoplastic techniques , I feel very comfortable to incorporate them to my practice
The combination of screening, stage I- III treatment, and metastatic treatment -> a 58% reduction in breast CA mortality in 2019;
treatment of metastatic breast CA, treatment of stage I - III breast CA, and mammography screening ->29%, 47,% and 25% of the reduction respectively.
Register for the first annual Moffitt Cancer Center oncoplastic surgery course. #oncoplastic designs using reduction and local flap techniques using lectures and cadaveric lab dissections by #oncoplasticsurgery leaders. Registration link below:
https://t.co/cZA5C0pN79
@SocSurgOnc Contralateral mastectomy without reconstruction to achieve asymmetry - with the popularity of aesthetic flat closure, either simultaneously or elective , I think it’s a option that we can provide for our patients. I am wondering how the society think about this concept .
This #FeaturedArticle from Annals of Surgical Oncology demonstrates patients are satisfied with their decision to undergo contralateral mastectomy, supporting surgeons to offer women this option.
📃https://t.co/lMnOXONPAa
Excise is more important than you think- high levels of leisure-time physical activity were associated with a
10% reduction in breast cancer risk in premenopausal women after adjustment of BMI. DOI: 10.1200/JCO.23.01101
RT to regional nodes in early BC significantly reduced BC mortality and all-cause mortality in trials done after the 1980s, but not in older trials(EBCTCG).
15 yr BC mortality reduce for LN -, 1.6%;
1-3 LN +2.7%; ≥4 LN+ 4.5% .
Lancet 2023. DOI: 10.1016/S0140-6736(23)01082-6
Sound Trial(omitting SLNB in early BC): SLNB vs No biopsy.
Medium follow up 5.7 yrs.
5-yr DFS:97.7% vs 98.0%(p=0.67,HR,0.84,90% CI:0.45~1.54,non inferiority P=0.02)
5-yr LR :1.7% vs 1.6%
5-yr distant metastasis :1.8% vs. 2.0% 5-yr all cause mortality:3.0% vs. 2.6%