By V. Suzanne Klimberg
The Atlas of Breast Surgical ideas, edited through V. Suzanne Klimberg, MD, offers state of the art visible suggestions on modern day complete diversity of breast surgical procedure suggestions. during this identify in Drs. Townsend and Evers' new Surgical recommendations Atlas sequence, esteemed foreign participants provide you with specialist step by step recommendation on a wide range of surgeries, together with the most recent ablative and reconstructive ways, that will help you extend your repertoire and hone your operative abilities. colour surgical photographs, biopsy specimens, and artists' renderings of key anatomy exhibit you what to seem for and the way to continue; and on-line entry at expertconsult.com helps you to seek advice the booklet from any computing device and watch surgical movies demonstrating tips on how to execute key facets of many procedures.
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Additional resources for Atlas of Breast Surgical Techniques: A Volume in the Surgical Techniques Atlas Series
When the image dims, usually this means more proteinaceous secretions or blood may be present. It may be necessary to ﬁll the ductal system with saline and empty it several times to get a clear image for complete ductoscopy. Cytologic study will identify cancer in less than one third of cases in which it has been seen endoscopically. Remember that excisional biopsy must still be the standard for correctly diagnosing an endoscopically visible lesion. 2 mm) are rarely malignant. Multiple proliferative lesions in the ductal wall are commonly associated with widespread DCIS or atypical ductal hyperplasia.
The skin nick is closed with Steri-Strips and a Tegaderm dressing or skin glue. Suture closure is rarely indicated. For facilities that have access to mammography, a postprocedure mammogram is ideal to verify that there has been no clip migration. The patient is put in a compression wrap with an ice pack, if indicated (Fig. 4-27). Step 4. Postoperative Care ◆ ◆ ◆ It is the physician’s responsibility to conﬁrm that the pathologic results are concordant with the impression of the radiologic imaging study.
Step 4. Postoperative Care ◆ ◆ ◆ It is the physician’s responsibility to conﬁrm that the pathologic results are concordant with the impression of the radiologic imaging study. If a discordance is identiﬁed, further intervention is necessary and may include repeat biopsy or open surgical excision. An unexcised papilloma, atypical hyperplasia, or a diagnosis of malignancy requires the patient to be scheduled for deﬁnitive therapeutic surgery. If the diagnosis is of a benign nature, the patient should be placed on the appropriate follow-up protocol to include a repeat mammogram or ultrasonogram in 4 to 6 months.
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