Quelles sont les complications possibles après une mastectomie ?
Les complications incluent infections, hématomes et douleurs chroniques.
ComplicationsInfectionsHématomes
#2
Comment gérer la douleur post-opératoire ?
Des analgésiques et des techniques de relaxation peuvent aider à gérer la douleur.
Douleur post-opératoireAnalgésiquesTechniques de relaxation
#3
Les cicatrices sont-elles inévitables ?
Oui, des cicatrices sont inévitables, mais leur apparence peut s'améliorer avec le temps.
CicatricesChirurgieEsthétique
#4
Quelles sont les conséquences psychologiques ?
Des changements d'image corporelle et des troubles de l'humeur peuvent survenir.
Conséquences psychologiquesImage corporelleTroubles de l'humeur
#5
Comment prévenir les infections après l'opération ?
Maintenir la plaie propre et suivre les instructions médicales aide à prévenir les infections.
InfectionsPlaiePrévention
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque du cancer du sein ?
Les facteurs incluent l'âge, le sexe féminin, les antécédents familiaux et certains gènes.
Facteurs de risqueCancer du seinAntécédents familiaux
#2
Le mode de vie influence-t-il le risque ?
Oui, l'alimentation, l'exercice et l'alcool peuvent influencer le risque de cancer.
Mode de vieAlimentationRisque de cancer
#3
Les antécédents familiaux augmentent-ils le risque ?
Oui, avoir des proches atteints de cancer du sein augmente le risque personnel.
Antécédents familiauxRisqueCancer du sein
#4
Le tabagisme est-il un facteur de risque ?
Oui, le tabagisme est associé à un risque accru de plusieurs cancers, y compris du sein.
TabagismeRisqueCancer du sein
#5
Les traitements hormonaux influencent-ils le risque ?
Oui, certains traitements hormonaux peuvent augmenter le risque de cancer du sein.
Traitements hormonauxRisqueCancer du sein
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"@type": "Question",
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"@type": "Question",
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"@type": "Question",
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"position": 8,
"acceptedAnswer": {
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"@type": "Question",
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"@type": "Question",
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{
"@type": "Question",
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"text": "Le tabagisme, l'obésité et la consommation d'alcool sont des facteurs modifiables."
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"@type": "Question",
"name": "Le suivi génétique est-il recommandé ?",
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"text": "L'intervention comprend l'anesthésie, l'ablation du sein et la fermeture des incisions."
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"@type": "Question",
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"@type": "Question",
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"acceptedAnswer": {
"@type": "Answer",
"text": "Cela dépend du stade du cancer et des recommandations du médecin."
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"@type": "Question",
"name": "Quels sont les traitements complémentaires possibles ?",
"position": 19,
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"@type": "Question",
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"@type": "Question",
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"position": 21,
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"@type": "Question",
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"@type": "Question",
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"position": 29,
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}
},
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"@type": "Question",
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Department of Surgery, Yale University School of Medicine, 20 York Street, 1st Floor, Suite A, New Haven, CT, 06510, USA. Electronic address: julian.huang@yale.edu.
Department of Surgery, Yale University School of Medicine, 20 York Street, 1st Floor, Suite A, New Haven, CT, 06510, USA. Electronic address: anees.chagpar@yale.edu.
Breast reconstruction (BR) is routinely offered to restore symmetry after mastectomy for breast cancer. Not all women, however, may want reconstructive surgery. A contralateral mastectomy (CM) to achi...
PubMed, MEDLINE, CINAHL and PsycINFO were searched to identify primary research studies, published in English between 1 January 2000 and 30 August 2022, evaluating clinical or patient-reported outcome...
The study included 15 studies (13 quantitative, 1 qualitative, and 1 mixed-methods) evaluating outcomes for at least 1954 women who underwent a bilateral mastectomy without reconstruction (BM) after u...
Women electing to undergo BM reported high levels of satisfaction with their decision and complication rates similar to those for UM. Further study is needed to comprehensively explore the outcomes fo...
This systematic review was prospectively registered on the PROSPERO database (CRD42022353689)....
In invasive breast cancer, there are no differences among the mid- and long-term oncological safety results of nipple-sparing mastectomy (NSM), skin-sparing mastectomy (SSM), and simple mastectomy (SM...
Patients undergoing NSM, SSM, or SM at our institution between 2006 and 2015 were identified, and their outcomes were analyzed....
The mean follow-up period was 80.4 months (standard deviation [SD]: 37.1 months). NSM was performed in 152 cases, SSM in 49, and SM in 44. Five of 245 patients developed local recurrences. Four of the...
In this single-center, retrospective study, the oncological safety of SSM and NSM for DCIS was comparable to that of conventional SM....
Breast-conserving therapy (BCT) includes breast-conserving surgery (BCS) combined with radiation therapy (RT). RT plays a crucial role in improving the prognosis of patients who undergo BCS. However, ...
This was a retrospective cohort study involving 1125 patients diagnosed with early stage breast cancer and obesity at the Shanghai Cancer Center of Fudan University from 2013 to 2016....
Obesity in the Chinese population was defined as a body mass index ≥28 kg/m...
The median follow-up times in the BCT group and TM group without postoperative RT were 51.1 months (IQR of 40.6-68.1 months) and 61.8 months (IQR of 46.5-76.7 months), respectively. After IPTW, the ba...
In patients with early stage breast cancer and obesity, TM is associated with better survival outcomes than BCT....
In breast cancer surgery, IBR (immediate breast reconstruction) is widely proposed to patients without indications of adjuvant treatments and without risk factors of surgical complications. New INCa's...
A retrospective, unicentric and safety study: post-operative complication rate after IBR in comparison with simple mastectomy (SM, reference treatment)....
This retrospective study has included all major patients who have received mastectomy for breast cancer between 2016 and 2020 before application of new guidelines, in Hôpital de la Croix-Rousse, Lyon ...
The study included 185 mastectomies: 153 SM, 32 mastectomies IBR. IBR's patients presented less risk factors, and few indications of adjuvant treatments. The rate of major complications was identical ...
This analyse approve IBR in selected patients. In this context, INCa's guidelines (2022) can generalize IBR's proposal to patients. However, the analysis of pre-operative risk factors stay essential i...
The objective of this study was to determine the incidence of textbook oncologic outcome (TOO) and its impact on overall survival (OS) among patients with invasive ductal carcinoma (IDC) following mod...
The 2004-2017 National Cancer Database was queried for patients with IDC who underwent MRM and MRM + CPM. TOO was defined as: resection with negative margins, adequate lymphadenectomy, length of sta...
87,573 patients were identified, of which 14.3% underwent MRM + CPM. Logistic regression models revealed that MRM + CPM is independently associated with a reduced likelihood of achieving TOO (AOR ...
MRM + CPM is associated with a lower incidence of TOO attainment compared to MRM....
A new configuration of closed incision negative pressure therapy (ciNPT) dressings now covers the incision and a broader area of peri-incisional tissues. We have implemented these ciNPT dressings foll...
Patients underwent SM or IBR for breast cancer. ciNPT with wide-coverage dressings were placed over the entire breast, and -125 mmHg was applied for 14 days. Upon dressing removal, patients rated thei...
Thirteen SM patients and 12 IBR patients were included in the study. The median age was 62 years, and SM patients were significantly older (p<0.01). Patients rated the ciNPT device highest on items re...
This study is the first to report on the patient experience with these novel, wide-coverage ciNPT dressings....
Overall, the dressing was well tolerated by patients, and satisfaction was high. The positive reception of ciNPT with wide coverage dressings supports continued use at our hospital....
Mastectomy poses significant challenges to a woman's body image and psychological well-being, and breast reconstruction plays a pivotal role in postoperative quality of life. Following breast reconstr...
The PearlDiver database was queried within its capabilities for patients who underwent mastectomy with and without breast reconstruction, and a variety of aesthetic procedures after mastectomy. Aesthe...
We identified 365,525 mastectomy patients: 282,815 without reconstruction and 82,710 with reconstruction. In total, 609 patients with reconstruction and 329 without underwent subsequent aesthetic proc...
Patients who chose to have breast reconstruction after mastectomy underwent significantly more subsequent aesthetic procedures compared with those who chose mastectomy alone. Our findings provide insi...
(1) Importance of problem: Breast cancer accounted for 685,000 deaths globally in 2020, and half of all cases occur in women with no specific risk factor besides gender and age group. During the last ...
The benefit of bilateral mastectomy for women with unilateral breast cancer in terms of deaths from breast cancer has not been shown....
To estimate the 20-year cumulative risk of breast cancer mortality among women with stage 0 to stage III unilateral breast cancer according to the type of initial surgery performed....
This cohort study used the Surveillance, Epidemiology, and End Results (SEER) Program registry database to identify women with unilateral breast cancer (invasive and ductal carcinoma in situ) who were...
Type of breast surgery performed (lumpectomy, unilateral mastectomy, or bilateral mastectomy)....
Contralateral breast cancer or breast cancer mortality during the 20-year follow-up period among the groups treated with lumpectomy vs unilateral mastectomy vs bilateral mastectomy....
The study sample included 661 270 women with unilateral breast cancer (mean [SD] age, 58.7 [11.3] years). After matching, there were 36 028 women in each of the 3 treatment groups. During the 20-year ...
This cohort study indicates that the risk of dying of breast cancer increases substantially after experiencing a contralateral breast cancer. Women with breast cancer treated with bilateral mastectomy...
Mastectomy skin flap necrosis (SFN) is common following nipple-sparing mastectomy (NSM), but studies on its quality-of-life (QOL) impact are limited. We examined patient-reported QOL and satisfaction ...
Patients undergoing NSM between April 2018 and July 2021 at our institution were examined; the BREAST-Q PROM was administered preoperatively, and at 6 months and 1 year postoperatively. SFN extent/sev...
A total of 573 NSMs in 333 patients were included, and 135 breasts in 82 patients developed SFN (24% superficial, 56% partial thickness, 16% full thickness). Patients with SFN reported significantly l...
Patients undergoing NSM who developed SFN reported significantly lower satisfaction and psychosocial well-being scores at 6 months, which returned to baseline by 1 year. Physical well-being of the che...