Publications by authors named "J M Piat"

Background: Autologous reconstruction techniques can provide a long-lasting natural breast reconstruction for patients. This study aimed to further investigate outcomes in the conversion of breast implant reconstruction into a lipofilled mini dorsi flap, focusing on reviewing its techniques, efficiency, and final results.

Methods: Over 3 years, we performed a number of breast implant replacements via the lipofilled mini dorsi flap technique.

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Introduction: The traditional extended latissimus dorsi flap technique, in addition to lipofilling, has been one of the main procedures used for breast reconstruction after mastectomy. However, to obtain excellent results, this technique requires a large muscle harvest and further lipofilling sessions. The lipofilled mini dorsi flap technique, performed in a single operation, appealed to us as a way to improve the traditional technique.

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Objective: The germline breast cancer gene (BRCA) mutation confers a lifetime high risk for breast cancer (BC) and bilateral prophylactic mastectomy is the procedure which allows the highest risk reduction rate. Among other techniques, lipofilling (LF) can be used for breast reconstruction of these patients. However, there are some oncological safety concerns on the subject.

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Alien invasive species can affect large areas, often with wide-ranging impacts on ecosystem structure, function, and services. is a widespread invader of European temperate forests, where it tends to form homogeneous stands and limits recruitment of indigenous trees. We hypotesized that invasion by would be reflected in the nutrient contents of the native species' leaves and in the respiration of invaded plots as efficient resource uptake and changes in nutrient cycling by probably underly its aggressive invasiveness.

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Article Synopsis
  • Most small breast cancer tumors (≤10 mm) have a good prognosis, but it's unclear which patients need additional systemic therapy according to current guidelines.
  • The ODISSEE study analyzed 616 patients with early-stage breast cancer (pT1a-b pN0) to assess treatment practices and outcomes, finding most tumors were detected during screening and almost all patients underwent conservative surgery.
  • After 5 years, survival rates were high, with overall survival at 98.4%, indicating that routine care in these cases aligns with international standards, primarily involving surgery, radiotherapy, and hormone therapy for ER-positive cancers.
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