Publications by authors named "Paul J Borgstein"
Introduction: Current guidelines for the treatment of phyllodes tumors recommend wide local excision for all histopathological subtypes. However, it is unknown which subtypes have tendency to recur after marginal or incomplete excision. This may lead to over-treatment by re-excision surgery for tumors with little or no potential to recur.
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- A study was conducted within a larger trial to assess the sexual functioning and relationship satisfaction of 69 partners of breast cancer survivors after they underwent Internet-based cognitive behavioral therapy (CBT) for sexual dysfunction.
- Results indicated that the CBT positively impacted the partners' sexual satisfaction, intimacy, and relationship satisfaction immediately after treatment and over time.
- However, the study found no lasting improvements in other areas of sexual functioning, leading to recommendations for future programs to better target the partners with specific psychoeducational and behavioral content.
Article Synopsis
- - The study examined the long-term effects of Internet-based cognitive behavioral therapy (CBT) on sexual dysfunctions in 84 breast cancer survivors.
- - Positive improvements in sexual functioning, desire, arousal, lubrication, and body image were noted immediately after treatment and were maintained at three and nine months later.
- - Although there was a decrease in sexual pleasure during follow-ups, it remained above baseline levels, indicating that Internet-based CBT has lasting benefits for sexual well-being in this population.
Rapid genetic counseling and testing in newly diagnosed breast cancer: Patients' and health professionals' attitudes, experiences, and evaluation of effects on treatment decision making.
J Surg Oncol
December 2017
Background: Rapid genetic counseling and testing (RGCT) in newly diagnosed high-risk breast cancer (BC) patients may influence surgical treatment decisions. To successfully integrate RGCT in practice, knowledge of professionals', and patients' attitudes toward RGCT is essential.
Methods: Between 2008 and 2010, we performed a randomized clinical trial evaluating the impact of RGCT.
Purpose We evaluated the effect of Internet-based cognitive behavioral therapy (CBT) on sexual functioning and relationship intimacy (primary outcomes) and body image, menopausal symptoms, marital functioning, psychological distress, and health-related quality of life (secondary outcomes) in breast cancer survivors (BCSs) with a DSM-IV diagnosis of a sexual dysfunction. Patients and Methods We randomly assigned 169 BCSs to either Internet-based CBT or a waiting-list control group. The CBT consisted of weekly therapist-guided sessions, with a maximum duration of 24 weeks.
View Article and Find Full Text PDFPurpose: Female breast cancer patients carrying a BRCA1/2 mutation have an increased risk of second primary breast cancer. Rapid genetic counseling and testing (RGCT) before surgery may influence choice of primary surgical treatment. In this article, we report on the psychosocial impact of RGCT.
View Article and Find Full Text PDFChyle fistula is not a well-known complication of axillary dissection in patients with breast cancer. Although rare, this complication can occur as a result of anatomic variation of the thoracic duct and its venous anastomosis. Injury to the lateral terminating branches or lymphatic trunk, leading to retrograde chyle flow, is more likely than direct injury to the duct.
View Article and Find Full Text PDFBackground: Even though 60% to 80% of melanoma patients with a positive sentinel lymph node (SLN) have no positive additional lymph nodes (ALNs), all these patients are subjected to an ALN dissection (ALND) with its associated morbidity. The aim of this study was to predict the absence of ALN metastases in patients with a positive SLN by using features of the primary melanoma and SLN tumor load.
Methods: Of 71 SLN-positive patients, 52 had metastasis limited to the SLN (group 1), and 19 had > or =1 positive ALN after ALND (group 2).