Publications by authors named "Andre Vallejo Da Silva"

Background: Lipomatous neurofibroma (Lnf) is a histopathological variant with adipocytes noted among cells of cutaneous neurofibromas. We aimed to investigate the prevalence and clinicopathological features of Lnfs of neurofibromatosis 1 (NF1)-associated cutaneous neurofibromas and to review the literature systematically. We also evaluated the expression of leptin (a hormone involved in lipid metabolism) in neurofibromas to better understand the pathogenesis of Lnfs.

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Article Synopsis
  • Neurofibromatosis 1 is a common genetic disorder that leads to multiple neurofibromas and increases the risk of tumors, including breast cancer.
  • A case is presented of a woman with neurofibromatosis 1, where her numerous skin neurofibromas complicated the early detection of advanced breast cancer, causing significant delays in diagnosis.
  • Current screening guidelines for breast cancer are inadequate for individuals with neurofibromatosis 1, suggesting the need for more aggressive clinical and imaging strategies to achieve early detection comparable to women without the condition.
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We report two rare cases of breast cancer in men treated with modified radical mastectomy. The patients were aged 67 and 45 years at the time of diagnosis. Tumor sizes were 2 cm and 8 cm in the older and younger patient, respectively.

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Though removing of the pectorals fascia has always been routinely performed in modified radical mastectomy for invasive breast cancer, there is no evidence that this routine is justified. The authors present some of the scarce data found in literature, and discuss the advantages of living the pectorals fascia in situ to facilitate implant based reconstruction.

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A definition of oncoplastic surgery of the breast is presented, and its objectives and advantages over the usual conservative procedures are discussed. The oncological safety of these procedures are demonstrated, especially in surgery of larger tumors. Technical possibilities are discussed and a classification of the procedures presented.

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