Oncoplastic Breast Surgery

Ashok Subramanian B.Sc (Hons), MBBS (Hons), FRCS (Gen) Consultant Oncoplastic Surgeon, College Tutor for Surgery ESHTMark William Kissin MA, MChir, FRCS Engl. BCA(h) Consultant Specialist Breast Surgeon to the Guilford Hospitals, Quality Assurance Breast Surgeon throughout South East EnglandProfessor David C Howlett MBBS PhD FAcadMEd FRCP(Lond) FRCP(Edin) FRCR Consultant Radiologist - East Sussex Healthcare NHS Trust, Honorary Clinical Professor Radiology - Brighton and Sussex Medical SchoolDr Jennifer Glendenning MBBS BSc MRCP FRCR MDres Consultant Clinical Oncologist Kent Oncology Centre

• Section I – Initial Assessment Family History and High-Risk Surveillance. The Principles of Triple Assessment Breast Screening. Mammography and Ultrasound. MRI. Localisation and Biopsy. Traditional Histopathology of Breast CancerThe Management of B3 LesionsThe Management of PhyllodesThe Management of Intraduct PapillomasThe Evolution of the MDTSection II – First Treatment Neo-Adjuvant Hormone BlockadeNeo-Adjuvant ChemotherapyMultifocal and Multicentric DiseaseWide Excision or MastectomyMastectomy Plus or Minus ReconstructionThe Mystery of DCISThe Bigger Mystery of LCISLearning About LobularAnaesthesia and AnalgesiaDay Case Surgery The ERAS Nurse Section III – Conversations about Conservation Incision Planning and Operating on Difficult AreasPerforator Breast FlapsOncoplastic Wide ExcisionSection IV – Rebuilding the Breast Timing of Reconstruction The Effects of Radiotherapy on ReconstructionNipple Sparing Mastectomy Sub-Pectoral ImplantsPre-Pectoral ImplantsLatissimus Dorsi FlapsFree FlapsLipomodellingNipple ReconstructionSection V – Managing the Axilla: Less is More? Management of the Axilla Section VI – Oncology Hormonal Blockade Chemotherapy Radiotherapy Complementary Alternative MedicinePatterns of Recurrence Locoregional Inoperable RecurrenceThe Value of Radiology from Diagnosis to Distant RelapsePalliative Care Section VII – Tomorrow’s World Predictive Assays and New TaxonomyModern Pathology Breast Cancer Genetics Technical Innovations Advances in Radiology Advances in Oncology Future Roles of the Breast Nurse Section VIII – Survivorship To Follow-Up or not to Follow Up: That is the QuestionModifiable Risk Factors LymphoedemaLong Term Implications of Radiotherapy and ChemotherapyPsychological Effects of Oncoplastic SurgerySection IX – The Difficult Scenario Young and Pregnant Women Fertility Issues The BRCA Positive PatientRisk Reducing Mastectomy The Older Woman Male Breast Cancer Section X – The Principles of Cosmetic Breast Surgery Augmentation Implants Reduction and Mastopexy GynaecomastiaSection XI – Maintaining Good Practice Probity and Professional StandardsDealing with Complaints Collecting Data and Statistics Getting It Right First Time Social Media for the Breast 3D Modelling for Aesthetics The Effect of the COVID-19 Pandemic