Oncoplastic Breast-Conserving Surgery: Can We Reduce Rates of Mastectomy and Chemotherapy Use in Patients with Traditional Indications for Mastectomy?

Introduction: Traditional indications for mastectomy include multiple ipsilateral lesions and/or disease spanning ≥ 5 cm. Neoadjuvant chemotherapy increases breast conservation but does not improve survival. We hypothesized that oncoplastic breast-conserving surgery (OPS) may allow for breast conservation while providing full staging and tumor profiling information to guide systemic therapy decisions, thereby permitting more judicious chemotherapy use.

Evaluating Need for Additional Imaging and Biopsy After Oncoplastic Breast-Conserving Surgery.

Introduction: Breast-conserving therapy (BCT) using oncoplastic surgery (OPS) allows for larger resections and improved aesthetics though volume redistribution and tissue rearrangement. Data regarding the impact of OPS on surveillance imaging and need for additional biopsies are limited.

Methods: This observational cohort underwent BCT at a single institution from 2009 to 2018; standard breast-conserving surgery (BCS) was the predominant approach until OPS was introduced in 2012.

Extreme oncoplasty: Expanding indications for breast conservation.

Introduction: Presence of multiple lesions and/or tumor span ≥5 cm are traditional indications for mastectomy. Patient desire for breast conservation has increased the interest in extreme oncoplastic breast conserving surgery (EOBCS) to avoid mastectomy; however, perioperative outcomes in this population have not been well described.

Methods: This is an observational cohort of breast cancer patients with multiple lesions and disease span ≥5 cm who underwent EOBCS.

Revision knee arthroplasty including reconstruction of the lateral collateral ligament by allograft: a case report.

A 53-year-old woman presented with an unstable and painful total knee arthroplasty 6 months after the index procedure. Disruption of both collateral ligaments as a young adult and the subsequent development of traumatic arthritis required repeated surgical and extensive conservative treatment before a prosthesis was implanted. Examination disclosed marked instability of the lateral collateral ligament (LCL) and loosening of the tibial and the femoral components.

Early results with the Genesis II Posterior Stabilized High Flexion knee prosthesis. A one year follow-up study.

The aim of this prospective study was to assess the range of motion (ROM) achieved with the Genesis II Posterior Stabilized High Flexion knee prosthesis. The ROM was compared with that of a historical study group with the standard PS insert and an identical study design. Sixty three patients with primary knee osteoarthritis (37 female, 26 male; average age: 67.