- Breast Implant and Reconstruction
- Breast Cancer Treatment Studies
- Breast Lesions and Carcinomas
- Reconstructive Surgery and Microvascular Techniques
- Global Cancer Incidence and Screening
- Body Image and Dysmorphia Studies
- Cancer and Skin Lesions
- Reconstructive Facial Surgery Techniques
- Meta-analysis and systematic reviews
- Salivary Gland Tumors Diagnosis and Treatment
- Health Sciences Research and Education
- Advances in Oncology and Radiotherapy
- Economic and Financial Impacts of Cancer
- Cancer Diagnosis and Treatment
- Angiogenesis and VEGF in Cancer
- BRCA gene mutations in cancer
- Anesthesia and Pain Management
- Cancer Treatment and Pharmacology
- Advanced Breast Cancer Therapies
- Pulmonary Hypertension Research and Treatments
- Health and Medical Research Impacts
- Tattoo and Body Piercing Complications
- Thermography and Photoacoustic Techniques
- Congenital limb and hand anomalies
- Photoacoustic and Ultrasonic Imaging
Cleveland Clinic
2022-2024
Georgetown University
2013-2022
MedStar Georgetown University Hospital
2013-2022
Creative Commons
2020
New York University
2020
Johns Hopkins University
2018
American Society of Plastic Surgeons
2018
Georgetown University Medical Center
2014-2018
Cornell University
2004-2016
Weill Cornell Medicine
2016
Purpose: The efficacy of accelerated partial breast irradiation (APBI) utilizing brachytherapy or conventional external beam radiation has been studied in early stage cancer treated with conserving surgery. Data regarding stereotactic treatment approaches are emerging. CyberKnife linear accelerator enables excellent dose conformality to target structures while adjusting for and patient motion. We report our institutional experience on the technical feasibility rationale SAPBI delivery using...
Synchronous bilateral invasive breast carcinoma (SBIBC) ranged in incidence from 0.3% to as high 12%.Between April 1997 and February 2003, 143 consecutive patients with SBIBC were treated at the European Institute of Oncology (Milan, Italy). Their information was collected prospectively a database. The tumors divded into left right tumors. Tumor size, histology, grade, lymph node status, estrogen (ER) progesterone receptor (PgR) HER-2 expression, peritumoral vascular invasion (PVI), Ki-67...
Metastases to the contralateral axillary lymph nodes in breast cancer patients are uncommon. Involvement of axilla is a manifestation systemic disease (stage IV) or regional metastasis from new occult primary (T0N1, stage II). The uncertain laterality responsible for these metastases complicates overall staging and management dilemma clinicians. Seven women who developed (CAM), but did not have evidence were identified. Patient demographics, histopathologic tumor characteristics, treatment...
Nipple-sparing mastectomy is associated with improved aesthetics and oncologic safety. Recently, there has been a resurgence in prepectoral reconstruction. Because of limited data comparing complication rates on patients undergoing breast reconstruction, this study compared 30-day postoperative complications by plane prosthetic placement.
Background: Staged nipple-sparing mastectomy following mastopexy or reduction mammaplasty was first described in 2011 by Spear et al. to expand the indications for women with large ptotic breasts. Since that time, authors have revised their treatment algorithm and technique enhance oncologic safety improve wound healing complications. Methods: An institutional review board–approved retrospective undertaken of all patients undergoing staged at a single institution from July through 2016....
Pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) in breast cancer strongly correlates with overall survival and has become the standard end point trials. However, there is controversy regarding whether definition of pCR should exclude or permit presence residual ductal carcinoma situ (DCIS).To examine association DCIS surgical specimens for points to inform standards assessment pathologic response.The study team analyzed NAC 3-year event-free (EFS), distant...
Introduction Although nipple-sparing mastectomy (NSM) and immediate breast reconstruction (IBR) have long been praised for excellent cosmetic results the resultant psychosocial benefits, feasibility safety of these procedures in patients older than 60 years yet to be demonstrated a large population. Methods Patients undergoing NSM with or without IBR at MedStar Georgetown University Hospital between 1998 2017 were included. Patient demographics, surgical intervention, complication recurrence...
Sir: The coronavirus disease 2019 (COVID-19) pandemic has severely curtailed the American health care system. In response to managing patients with breast cancer during these unprecedented times, a COVID-19 consortium, consisting of leaders from many national organizations, including Society Breast Surgeons, released an executive summary on March 24, 2020, detailing prioritization management.1 official guidelines were recently published April 2020.2 Cases are currently triaged into three...
Background: The purpose of this study was to determine whether augmentation mammaplasty, implant type, and location affect breast cancer detection, stage, treatment. Methods: An institutional case-control performed patients with prior undergoing treatment from 2000 2013. Controls were propensity matched randomized, data retrospectively reviewed. Results: Forty-eight cases 302 controls analyzed. Palpable lesions detected at a smaller size in (1.6 cm versus 2.3 cm; p < 0.001). Fewer...
Opioid-free anesthesia (OFA) is being implemented in breast surgery due to increased awareness of adverse effects and the national opioid crisis. The objective this study was examine effect OFA on postoperative pain nausea vomiting (PONV) mastectomy patients. A single-institution matched-cohort conducted from 2014 2017 48 women undergoing mastectomy, with majority also immediate prosthetic-based reconstruction. Patients received either conventional (CA) or a novel regimen. Primary outcomes...