Surgical and oncological outcome after skin-sparing mastectomy and immediate breast reconstruction.

Introduction: We present clinical outcomes after SSM in operable breast cancer especially in light of increased diagnoses of in situ disease after screening and increased usage of adjuvant aromatase inhibitors (AIs) in recent years.

Patients And Methods: Case records of 81 patients who had SSM for cancer over 4 years (April 2006-July 2010) were reviewed.

Results: Eighty-one patients (median age, 51.

Invasive lobular carcinoma arising in accessory breast tissue.

Background: Lobular carcinoma in accessory breast tissue is a rare occurrence. We present such a case in a 61-year-old woman.

Case Presentation: A skin nodule in the axillary skin on excision biopsy revealed invasive lobular carcinoma.

Local or general anesthesia for open hernia repair: a randomized trial.

Objective: To compare patient outcome following repair of a primary groin hernia under local (LA) or general anesthesia (GA) in a randomized clinical trial.

Summary Background Data: LA hernia repair is thought to be safer for patients, causes less postoperative pain, cost less, and is associated with a more rapid recovery when compared with the same operation performed under GA.

Methods: All patients presenting to three surgeons during the study period with a primary groin hernia were considered eligible.