Publications by authors named "Soumian S"

Cancer survivors frequently experience prolonged physical and psychological symptoms including cancer-related fatigue (CRF), sleep disturbances, cognitive impairment, and musculoskeletal pain. Conventional treatments for these symptoms have demonstrated limited efficacy, emphasising the need for complementary therapies. The Yoga for Cancer Survivors (YOCAS) program is a structured mind-body intervention designed to address these challenges.

View Article and Find Full Text PDF

Yoga has gained recognition as a complementary intervention for managing the physical and psychological challenges faced by patients with cancer. Systematic reviews of yoga interventions have provided valuable insights into their roles in cancer care. This bibliometric analysis aimed to map the trends, contributors, and thematic focus of systematic reviews on yoga interventions in oncology.

View Article and Find Full Text PDF

Pranayama, a set of yogic breathing techniques, is being studied as a potential supportive care option for cancer patients. This review intends to evaluate the effectiveness of Pranayama in enhancing the quality of life and well-being of cancer patients based on evidence from randomized controlled trials. We thoroughly searched databases for studies published between 2013 and 2023.

View Article and Find Full Text PDF

Despite the higher incidence of breast cancer in older age groups, it remains pertinent not to overlook breast cancer occurrence in those aged 35 years and below. Recent transitions toward targeted under-35 clinics in England aim to enhance efficiency and meet referral standards. Three models were planned, and we assessed the efficiency of each model.

View Article and Find Full Text PDF

: Implant-related complications leading to implant loss contribute to major morbidity in immediate breast reconstruction (IBR). Various techniques have been advocated to improve rates of reconstruction salvage. The objective of our study was to assess if a peri-prosthetic irrigation system was an effective adjunct to the conventional wash-out technique in improving reconstruction salvage rates.

View Article and Find Full Text PDF
Article Synopsis
  • Wire-localised wide local excision (W-WLE) has been the standard method for removing impalpable breast lesions, but it comes with logistical challenges and risks.
  • Magseed-localised wide local excision (M-WLE) offers a viable alternative, showing a significantly lower re-excision rate compared to W-WLE (2.9% vs 10.4%) and a shorter median waiting time for surgery (4h 15min vs 7h 3min).
  • The study found that both methods are oncologically safe, with no significant difference in length of hospital stay, highlighting M-WLE as a beneficial option for patients.
View Article and Find Full Text PDF

Breast-conserving surgery (BCS) outcomes are comparable to mastectomy in breast cancer treatment. However, patients with large tumours were offered mastectomy due to the resulting poor cosmetic sequelae after standard BCS. With the introduction of chest wall perforator flaps (CWPF), BCS is an option in patients with large tumour:breast ratio.

View Article and Find Full Text PDF

Background And Objectives: MRI is generally performed to assess response to Neo-adjuvant systemic therapy (NAST) in breast cancer.

Objective: To assess role of MRI in determining the probability of having residual disease in patients undergoing NAST. We also evaluated synchronous cancers diagnosed following MRI.

View Article and Find Full Text PDF

Background: Invasive breast cancer is comprised of a wide spectrum of histological types with different clinical presentations, imaging characteristics, and behaviors. Almost 10% of breast cancers with predominantly invasive ductal features have lobular components on core biopsy at primary diagnosis. Although the role of magnetic resonance imaging (MRI) in patients with purely lobular cancers is well-established, it is not clear if preoperative MRI is indicated in ductal cancer with lobular features.

View Article and Find Full Text PDF
Article Synopsis
  • The COVID-19 pandemic created significant challenges in healthcare, particularly for cancer care delivery.
  • Patients faced increased risks of COVID-19 transmission during hospital visits and treatment, complicating their ongoing cancer management.
  • Modified guidelines are proposed to safely manage breast cancer under the new healthcare constraints, based on existing consensus and evidence.
View Article and Find Full Text PDF

Introduction: Sentinel lymph node biopsy (SLNB) is the standard procedure for axillary staging in breast cancer. There is a lack of consistency in studies reporting on upper limb morbidity after SLNB. We present a prospective study evaluating upper limb function after SLNB using the validated quickDASH questionnaire.

View Article and Find Full Text PDF

Background: Perforator artery flaps based on the branches of intercostal arteries and lateral thoracic artery can be used for reconstruction after breast-conserving surgery (BCS). Although described more than a decade ago, these have not been adopted widely in clinical practice. We report on short-term and long-term surgical outcomes of partial breast reconstruction using chest wall perforator flaps from a prospective multicenter audit.

View Article and Find Full Text PDF

Background: Axillary Ultrasound (AUS) is now performed as a protocol in every newly diagnosed breast cancer in most European countries. It is an inexpensive and sensitive tool in hands of a trained operator. All AUS negative patients undergo Sentinel Lymph Node Biopsy (SLNB), while AUS positive patients bypass SLNB and undergo axillary nodal clearance (ANC) as a standard protocol.

View Article and Find Full Text PDF
Article Synopsis
  • Implant-based immediate breast reconstruction (IBR) is the most common method in the UK, with subpectoral and newer prepectoral approaches being compared for effectiveness.
  • A retrospective study from January 2015 to May 2017 analyzed 154 patients who underwent mastectomy with immediate IBR, focusing on complications like infection and implant loss.
  • Results showed comparable complication rates between prepectoral (4.2% loss) and subpectoral (10.8% loss) techniques, with factors like age over 50 and bilateral reconstructions significantly impacting the rates of complications and implant loss.
View Article and Find Full Text PDF

Metastases to the breast are very uncommon as compared to primary tumours. Breast is an unusual site for metastasis from renal cell carcinoma. Only occasional cases are reported in the literature.

View Article and Find Full Text PDF

Background: The last two decades have seen significant changes in surgical management of breast cancer. The offer of immediate breast reconstruction (IBR) following mastectomy is currently standard practice. Skin sparing and nipple sparing mastectomy with implant-based IBR have emerged as oncologically safe treatment options.

View Article and Find Full Text PDF

Parotid gland metastases from breast cancer are an extremely rare and unusual event with a limited number of cases recorded in the literature. A 71-year-old woman with a history of ductal adenocarcinoma of the left breast presented to the maxillofacial clinic with an asymptomatic swelling of the left parotid gland. The presentation occurred 21 years after she underwent treatment for recurrent breast cancer.

View Article and Find Full Text PDF

One-step nucleic acid amplification (OSNA) is an intraoperative technique with a high sensitivity and specificity for sentinel node assessment. The aim of this study was to assess the impact of OSNA on micrometastases detection rates and use of adjuvant chemotherapy. A retrospective review of patients with sentinel node micrometastases over a five-year period was carried out and a comparison of micrometastases detection using OSNA and H&E techniques was made.

View Article and Find Full Text PDF

Aim: The recent Breast Cancer Screening Review has estimated that for one life saved three patients are overtreated. The dramatic increase in the diagnosis of Ductal carcinoma in-situ (DCIS) has not lead to the expected decrease in the incidence of invasive cancer. It is not clear if all DCIS progress to invasive cancer if untreated.

View Article and Find Full Text PDF

Introduction: Acute pancreatitis is recognised to cause both local and extra pancreatic systemic complications. Sequelae like pseudocyst of the pancreas can further be complicated by infection, intracystic haemorrhage and rupture with high mortality and morbidity. Extra pancreatic manifestations include alterations in blood coagulation factors and pro-thrombotic tendencies.

View Article and Find Full Text PDF

A 79-year-old woman presented with a 4 day history of central abdominal pain and vomiting. Clinical examination revealed a distended abdomen with predominantly right sided tenderness. Following an initial period of supportive treatment pending further imaging, evolving abdominal signs became evident.

View Article and Find Full Text PDF

Background: Seromas constitute a common complication following surgery for breast cancer, and closed drainage is used routinely to reduce its incidence. The aim of this study was to evaluate the influence of number of drains on patient discomfort, seroma formation, and hospital stay during the immediate postoperative period after mastectomy for breast cancer.

Patients And Methods: Based on a retrospective review of our clinical database, 110 consecutive patients from January 2004 through January 2006 who had undergone a mastectomy and axillary clearance for breast cancer were sent a simple postal questionnaire for collection of data.

View Article and Find Full Text PDF