Publications by authors named "Joseph Di Como"
Article Synopsis
- - Papillary carcinoma is a rare type of breast cancer, often presenting with bloody nipple discharge and typically showing positive estrogen, progesterone, and HER2 receptors for targeted treatments; however, a rare variant called triple-negative papillary carcinoma (TNPC) lacks these receptors.
- - A case is presented involving a 43-year-old woman diagnosed with TNPC after an abnormal mammogram, highlighting the challenges in diagnosing and managing this variant due to its unique characteristics.
- - Treatment primarily involves surgical excision with clear margins, and while adjuvant chemotherapy may be recommended for high-risk cases, there's limited evidence on the effectiveness of targeted therapies and hormone treatments for TNPC, emphasizing the need for more research on appropriate treatment strategies. *
Article Synopsis
- * Imaging tests are not very effective at telling nipple adenomas apart from breast cancer, so doctors need to use tissue samples and special staining techniques for accurate diagnosis.
- * A case involving a 69-year-old woman showed successful management through complete removal of the adenomas, although in some situations, preserving the nipple during a partial excision may also work well.
Purpose Of Review: Across the world, medical training has been affected by the COVID-19 virus and this has changed the way physicians are educated. What is less clear is the effect of the pandemic on breast surgical oncology fellows who were in training during this time. This review discusses the experience of breast surgical oncology fellows during the pandemic and how fellowships adapted to preserve the educational experience and conserve the quality of training.
View Article and Find Full Text PDFAdrenal incidentalomas are a known entity that have been increasing in commonality with the advent of improved diagnostic and imaging techniques. There are a vast variety of causative pathologies to which this diagnosis can be attributed. Some of these pathologies are more common than others, while many remain extremely rare.
View Article and Find Full Text PDFRaynaud's phenomenon of the nipple (RPN) is a cause of nipple pain scarcely reported in the literature and frequently missed by physicians. We present a case of RPN in a pregnant mother who sought breast surgical consultation for episodic nipple pain. Review of the literature reveals RPN is predominant in lactating and pregnant patients and missed diagnosis can cause cessation of breastfeeding or mistreatment with antifungals.
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