Breast cancer is the most common malignancy in Australian women. As most women now survive breast cancer, improving quality-of-life outcomes is increasingly important and major changes are occurring in breast surgery to meet this challenge. Use of neoadjuvant chemotherapy results in lower mastectomy rates, broader surgical options and less surgical morbidity. Oncoplastic breast surgery (OBS) fa...

During the past 100 years, there have been two major controversies with regard to the treatment of primary breast cancer. The first controversy, which occurred approximately 35 years ago, questioned the performance of radical mastectomy, as originally proposed by Halsted in the 1890s. That controversy was resolved by the use of laboratory and clinical research, hypothesis formulation, and evalu...

OBJECTIVE The incidence and prevalence of breast cancer continue to rise. Therapies may contribute to patient weight gain. Obesity, a major predictor of surgical complications, may affect reconstructive outcome. The goal of this study was to quantify weight gain/change after the diagnosis and treatment of breast cancer in women choosing reconstruction after mastectomy. METHODS Retrospective r...

Background: Lymphedema is a severe post-mastectomy complication that still causes much morbidity in breast cancer patients with axillary lymph node dissection. Therefore, after mastectomy, lymphedema prevention crucial for long-term survival and an increase quality of life. Aim: The study's primary objective was to determine whether pre-discharge educational intervention sessions women effectiv...

In an early meta-analysis of the post-mastectomy radiotherapy trials, the use of obsolete radiotherapy techniques resulted in increased cardiac mortality. With maturation of these data and inclusion of more recent trials, however, a survival advantage is now emerging. This, in concert with the improvement in disease-free and overall survival evident in the larger studies of post-mastectomy radi...

Background: The quality of life (QoL) breast cancer (BCa) patients is an outcome therapy that often overlooked. In real life, postoperative experience deep trauma in view breasts are a symbol femininity, which very valuable for any female. This study aims to compare the QoL who received mastectomy only and with reconstruction.Methods: A retrospective comparative 25 post-mastectomy reconstructio...

Effectiveness of Mindfulness-Integrated Cognitive Behavioural Therapy (MiCBT) on Body Image and Emotional Regulation in Mastectomy Patients: A Randomized Clinical Trial

OBJECTIVE Most women develop causal beliefs following diagnosis with breast cancer and these beliefs can guide decisions around their care and management. Bilateral mastectomy rates are increasing, although the benefits of this surgery are only established in a small percentage of women. In this study we investigated the relationship between causal beliefs and the decision to have a bilateral m...

INTRODUCTION In women with macromastia, a type IV skin sparing mastectomy is often required to achieve an aesthetically pleasing reconstruction. The introduction of "skin-reducing mastectomy", which inserts a permanent prosthetic device into a large pouch made by the pectoralis major muscle and an inferior pedicle dermal flap, allows the surgeon to achieve a safe oncologic result plus a cosmeti...

BACKGROUND Lateral skin folds or 'dog-ears' are frequent following mastectomy, particularly in patients with large body habitus. METHODS We describe a method of modifying the mastectomy incision and suturing to eliminate these lateral 'dog-ears'. CONCLUSION This surgical technique, as compared to others described in the literature, is simple, does not require additional incisions and is cos...