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Breast Reconstruction Information


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Trends in breast reconstruction based on breast cancer analysis. Learn when to see a plastic surgeon.

Trends in breast reconstruction based on breast cancer analysis. Learn when to see a plastic surgeon.

Published in: Health & Medicine
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  • A thirty year old woman has a 1:232 chance of being diagnosed with breast cancer in the next 10 years and a 4:100 chance of being diagnosed with breast cancer in the next 30 years.
  • When a patient presents after bilateral mastectomies, the natural dynamics of the preoperative breasts are lost. After a unilateral mastectomy, the opportunity for immediately starting reconstruction is lost.
  • Transcript

    • 1. Breast Reconstruction: Upon Diagnosis… Michael J Bass, MD, JD 859-543-1024
    • 2. Disclosures• None• I need some
    • 3. Support Provided By• Lifecell – AlloDerm – Strattice
    • 4. Lecture Layout• Dr. Michael Bass – state of breast cancer in the U.S., preoperative analysis, timing of care• Dr. Monica Hall – implant-based versus autologous breast reconstruction• Dr. Theresa LeVan – autologous fat grafting breast reconstruction• Dr. Michael Bass – satisfaction surveys and outcomes analysis
    • 5. Part 1 Layout• Incidence of breast cancer• Trends in breast cancer• Risk by age• Preoperative assessment• Preoperative considerations
    • 6. Incidence of Breast Cancer• CDC 2008: 210,203 breast cancer diagnoses – 40,589 deaths• White > Black > Hispanic > Asian > American Indian• Kentucky: 117-121:100,000, third quartile among states
    • 7. Diagnosis Trends in U.S.: 1999-2008• Decreased by 1.2% per year among white women.• Remained level among black, Hispanic, American Indian/Alaska Native, and Asian/Pacific Islander women.
    • 8. Mortality Trend in U.S.: 1999-2008• Decreased by 2.0% per year among women overall by: – 2.1% per year among white women – 1.4% per year among black women – 1.5% per year among Hispanic women• Remained level among American Indian/Alaska Native women and Asian/Pacific Islander women.
    • 9. Risk by age Expected Survival Before Diagnosis 10 Years 20 Years 30 YearsCurrent Age 30 0.43 1.86 4.13 40 1.45 3.75 6.87 50 2.38 5.60 8.66 60 3.45 6.71 8.65
    • 10. Preoperative Analysis• Color – skin and nipple areolar complex (NAC)• Breast shape• Ptosis of NAC and breast tissue• Volume
    • 11. Preoperative Analysis• Patient measurements – BMI – Height – Weight – Suprasternal notch to nipple, clavicle to nipple, nipple to inframammary fold, breast base diameter
    • 12. Preoperative Analysis
    • 13. Preoperative Considerations• Type of breast cancer – DCIS, Invasive Ductal, Lobular, Medullary, Tubular, Mucinous (Colloid)• Neoadjuvant chemotherapy• Radiation• What treatments have been started
    • 14. When To See A Plastic Surgeon• Immediately after the diagnosis is made• Patients gain comfort in reconstructive counseling• Photos, biometric analysis, and coordinating care with other physicians from the very beginning• Women’s Health and Cancer Rights Act of 1998 (29 U.S.C. 1185)