Ductal Carcinoma in Situ of the Breast

Description

This book provides up-to-date information on all aspects of ductal carcinoma in situ of the breast, including epidemiology, imaging, pathologic and biologic features, interventional diagnostics, nonpalpable lesion localization, and treatment. Surgical procedures are described in detail, covering breast conservation techniques, conservative mastectomies, breast reconstruction options, and axillary surgery. Guidance is provided on how to ensure adequacy of surgical excision and avoid local recurrence when performing breast conservation surgery and how to minimize morbidity from axillary surgery. The role and techniques of partial and whole breast irradiation are described, and the use of adjuvant systemic therapy options, including endocrine therapy and chemotherapy, is explained. A concluding chapter addresses the issue of recurrence and its current management. This book, designed for ease of consultation, will be of value for all involved in the multidisciplinary care of patients with ductal carcinoma in situ of the breast, including surgeons, medical oncologists, pathologists, radiologists, and radiotherapists. Front Matter ....Pages i-x History of the DCIS of the Breast and the Evolution of Knowledge Based on Ductal Tree Anatomy (Alfonso M. Pluchinotta)....Pages 1-22 Epidemiology and Risk Factors (Paolo Luffarelli, Elena Manna, Lucio Fortunato)....Pages 23-37 DCIS Imaging (Gian Marco Giuseppetti, Francesca Boria, Silvia Baldassarre)....Pages 39-56 Interventional Diagnostic in DCIS (Carlo Mariotti, Eugenia Raffaeli, Enrico Lenti, Marco Gentili, Silvia Baldassarre, Gian Marco Giuseppetti)....Pages 57-73 DCIS: Pathology and Biological Features (Isabella Castellano, Jasna Metović, Riccardo Bussone, Gretha Grilz)....Pages 75-89 Non-palpable Lesions Localization in DCIS (Christian Rizzetto, Luca Seriau, Paolo Burelli)....Pages 91-105 The Surgical Treatment of DCIS: from Local Excision to Conservative Breast Surgery and Conservative Mastectomies (Carlo Mariotti, Eugenia Raffaeli)....Pages 107-142 Surgical Treatment of DCIS: Breast Reconstruction (Carla Cedolini, Serena Bertozzi, Ambrogio Pietro Londero, Pier Camillo Parodi)....Pages 143-156 Sentinel Node Biopsy in Ductal Carcinoma In Situ of the Breast (Matteo Ghilli, Manuela Roncella)....Pages 157-170 Breast Irradiation in DCIS (Francesca Cucciarelli)....Pages 171-183 Adjuvant Systemic Therapy in DCIS (Mirco Pistelli, Rossana Berardi)....Pages 185-191 DCIS: The Problem of Recurrence (Federico Buggi, Annalisa Curcio, Matteo Mingozzi, Daniele Vecchio, Francesco Marongiu, Dario Lelli et al.)....Pages 193-201 Counseling a Woman with DCIS (Alfonso M. Pluchinotta, Xenia Raspanti)....Pages 203-210 Back Matter ....Pages 211-216