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Goldilocks Mastectomy Explained: Finding the "Just Right" Approach to Breast Cancer Surgery
Introduction:
Facing a breast cancer diagnosis is overwhelming, and choosing the right surgical approach can feel even more daunting. This comprehensive guide delves into the "Goldilocks Mastectomy," a term increasingly used to describe a personalized approach to breast surgery that aims to achieve the best cosmetic and functional outcomes for each individual patient. We'll explore what constitutes a Goldilocks Mastectomy, the factors influencing surgical decisions, and how this approach differs from more traditional mastectomy techniques. By understanding the nuances involved, you can engage in more informed discussions with your surgical team and make the best choices for your health and well-being. This post aims to provide a clear and accessible explanation, empowering you with knowledge as you navigate this crucial decision.
What is a Goldilocks Mastectomy?
The term "Goldilocks Mastectomy" doesn't refer to a specific surgical technique itself. Instead, it represents a philosophy of breast surgery that prioritizes individual patient needs and preferences. It focuses on achieving the "just right" balance between cancer removal, breast conservation (where possible), and optimal cosmetic results. Unlike a traditional mastectomy, which often involves a more standardized approach, a Goldilocks Mastectomy emphasizes a tailored plan created through close collaboration between the surgeon, oncologist, and patient. This collaborative approach considers various factors to determine the most suitable surgical strategy.
Factors Influencing the "Goldilocks" Approach:
Several crucial factors influence the surgeon's decision-making process in a Goldilocks Mastectomy:
Tumor Location and Size: The location and size of the tumor significantly impact the surgical plan. Tumors near the nipple or in the upper outer quadrant may require more extensive surgery to ensure complete removal.
Breast Density and Size: Dense breasts may require a more extensive procedure to ensure clear margins. Similarly, larger breasts may necessitate different surgical techniques compared to smaller breasts.
Lymphedema Risk: The surgeon considers the patient's risk factors for lymphedema (swelling in the arm) and may tailor the surgery to minimize that risk. This often includes careful consideration of lymph node dissection or sentinel lymph node biopsy.
Patient's Preferences and Body Image: Crucially, the patient's wishes regarding breast reconstruction, cosmetic outcomes, and future body image are paramount in a Goldilocks Mastectomy. Open and honest communication is key.
Type of Cancer and Stage: The type of breast cancer and its stage play a vital role in determining the extent of the surgery. Some cancers may require more aggressive surgical approaches.
Adjuvant Therapies: The planned adjuvant therapies (chemotherapy, radiation, hormonal therapy) can influence the surgical approach. For instance, the extent of surgery might be adjusted depending on whether radiation therapy is planned.
Surgical Techniques Involved in a Goldilocks Mastectomy:
While not a singular procedure, a Goldilocks Mastectomy may involve various surgical techniques depending on individual needs. These may include:
Total Mastectomy: The removal of the entire breast. Even within a total mastectomy, techniques can vary, minimizing skin and nipple removal whenever safely possible.
Skin-Sparing Mastectomy: This preserves a layer of skin over the chest wall, allowing for immediate or delayed breast reconstruction with better cosmetic outcomes.
Nipple-Sparing Mastectomy: This preserves the nipple-areola complex if the tumor is located far enough from it and margins can be safely secured.
Sentinel Lymph Node Biopsy: A minimally invasive procedure to identify and remove the first lymph nodes to which cancer cells might spread. This is often preferred over axillary lymph node dissection, minimizing the risk of lymphedema.
Axillary Lymph Node Dissection: Removal of lymph nodes in the armpit if sentinel lymph node biopsy reveals cancer spread.
Reconstruction Options in a Goldilocks Mastectomy:
A Goldilocks Mastectomy frequently incorporates immediate or delayed breast reconstruction. Options include:
Immediate Reconstruction: Performed at the same time as the mastectomy.
Delayed Reconstruction: Performed after the mastectomy, allowing for healing and potentially reducing complications.
Breast Implants: Silicone or saline-filled implants can restore breast volume.
Autologous Reconstruction: Using tissues from other parts of the body (e.g., abdominal tissue flaps) to reconstruct the breast.
The Role of Communication and Patient Advocacy:
The success of a Goldilocks Mastectomy hinges on effective communication between the patient and the surgical team. Patients should feel empowered to ask questions, express concerns, and actively participate in decision-making. Seeking second opinions and advocating for their preferences is crucial in ensuring that the surgery aligns with their individual needs and goals.
Article Outline: "Goldilocks Mastectomy Explained"
I. Introduction: Defining the Goldilocks Mastectomy approach and its focus on personalization.
II. Factors Influencing Surgical Decisions: Tumor characteristics, breast anatomy, patient preferences, and other relevant factors.
III. Surgical Techniques: Exploring various surgical options and their suitability for different situations.
IV. Reconstruction Options: Detailing immediate and delayed reconstruction methods, including implant and autologous options.
V. The Importance of Communication: Highlighting the crucial role of patient advocacy and informed decision-making.
VI. FAQs and Related Articles: Addressing common questions and linking to relevant resources.
Conclusion:
A Goldilocks Mastectomy represents a paradigm shift in breast cancer surgery, moving away from a one-size-fits-all approach towards a personalized and patient-centered strategy. By carefully considering various factors and prioritizing open communication, surgeons can tailor surgical plans to achieve optimal outcomes for each individual. Remember, knowledge is power, and understanding the nuances of this approach will empower you to make informed decisions and navigate your treatment journey with greater confidence.
FAQs:
1. Is a Goldilocks Mastectomy right for everyone with breast cancer? No, the suitability depends on various factors, including tumor characteristics, breast anatomy, and overall health. Your surgical team will determine the best approach for your individual case.
2. What are the potential risks of a Goldilocks Mastectomy? Risks are similar to those of other mastectomy procedures and can include bleeding, infection, seroma formation, and nerve damage. These risks will be discussed with you by your surgeon.
3. How long is the recovery time after a Goldilocks Mastectomy? Recovery time varies depending on the extent of the surgery and reconstruction performed. Your surgical team will provide specific guidance.
4. Will I need radiation therapy after a Goldilocks Mastectomy? Radiation therapy may or may not be recommended, depending on the type and stage of cancer.
5. What is the difference between a Goldilocks Mastectomy and a traditional mastectomy? A Goldilocks Mastectomy emphasizes personalization and tailoring the surgery to individual needs, while a traditional mastectomy follows a more standardized approach.
6. Can I choose my surgeon for a Goldilocks Mastectomy? Yes, you have the right to choose your surgeon and seek multiple opinions to ensure you are comfortable with the surgical plan.
7. How much does a Goldilocks Mastectomy cost? The cost varies depending on the specifics of the surgery, reconstruction, and other factors. Discuss this with your insurance provider and surgical team.
8. Will I have scars after a Goldilocks Mastectomy? Yes, there will be scars, but the extent and visibility will depend on the specific surgical technique used.
9. What is the long-term outlook after a Goldilocks Mastectomy? The long-term outlook depends on various factors, including the type and stage of cancer, treatment response, and overall health. Regular follow-up care is essential.
Related Articles:
1. Understanding Different Types of Mastectomies: A comprehensive overview of various mastectomy techniques and their implications.
2. Breast Reconstruction Options After Mastectomy: A detailed exploration of reconstruction methods, their advantages, and disadvantages.
3. Lymphedema After Mastectomy: Prevention and Management: Guidance on minimizing the risk of lymphedema and managing it if it occurs.
4. Choosing the Right Breast Surgeon: Tips for selecting a qualified and experienced surgeon for your mastectomy.
5. The Importance of Patient Advocacy in Cancer Treatment: Empowering patients to actively participate in their healthcare decisions.
6. Managing the Emotional Impact of a Breast Cancer Diagnosis: Resources and support for coping with the emotional challenges of breast cancer.
7. Skin-Sparing Mastectomy: A Less Invasive Approach: A detailed look at this specific mastectomy technique and its benefits.
8. Nipple-Sparing Mastectomy: Preserving the Nipple-Areola Complex: An in-depth explanation of this technique and its suitability criteria.
9. Sentinel Lymph Node Biopsy: Minimally Invasive Lymph Node Evaluation: Understanding the role of sentinel lymph node biopsy in breast cancer surgery.
| goldilocks mastectomy explained: Breast Cancer Management for Surgeons Lynda Wyld, Christos Markopoulos, Marjut Leidenius, Elżbieta Senkus-Konefka, 2017-11-29 This textbook provides a comprehensive overview of the state of the art knowledge of breast cancer management for the modern breast surgeon. It covers all aspects of multidisciplinary care including primary breast and axillary surgery, reconstruction and oncoplastic techniques, external beam radiotherapy and newer techniques such as tomotherapy, intraoperative radiotherapy and brachytherapy. In addition, systemic therapies including chemotherapy, the latest biological targeted therapies and endocrine therapies are covered. Readers can find out about other important aspects of breast cancer such as genetics, screening, imaging and long-term health among others. Chapters take the reader through the basics up to the highest levels of knowledge in an easy to understand format with management algorithms to aid clinical care, generous referencing of the best literature and figures and photographs to illustrate each section. Published with the official approval of the European Society of Surgical Oncology (ESSO) and the European Society of Breast Cancer Specialists (EUSOMA), the book is written by a panel of recognised leaders in the field and is an indispensable guide for the practicing breast specialist and senior specialists in training, wishing to update their knowledge with the latest trends or polish off their training before accreditation. |
| goldilocks mastectomy explained: Oncoplastic Breast Surgery Techniques for the General Surgeon V. Suzanne Klimberg, Tibor Kovacs, Isabel T. Rubio, 2020-05-22 This book covers an up-to-date review of advances in the management strategies for patients with breast cancer and their co-morbidities. Oncoplasty has become the standard of care for breast conservation surgery and can lead to improving aesthetic outcomes of breast cancer surgery, without compromising oncological outcomes. The goal of the text is to increase the competencies and performance of healthcare professionals involved in treating this patient population, which will ultimately improve the aesthetic outcomes, quality of life and overall survival of patients with breast disease and breast cancer. Written by experts in the field, chapters address a wide range of breast surgery techniques that help the general surgeon provide improved oncologic and aesthetic results for patients. The authors have detailed not only best practice for conventional procedures but also new and evolving techniques. Oncoplastic Breast Surgery Techniques for the General Surgeon serves as a valuable resource not only for medical students but also for the general surgeon seeking to improve results in private practice and for professors learning and teaching new breast surgery techniques. |
| goldilocks mastectomy explained: Oncoplastic Breast Surgery Florian Fitzal, Peter Schrenk, 2015-06-18 This book presents 50 cases, encompassing a broad range of oncoplastic breast surgeries. Each case is dedicated to a particular surgical technique, using classifications of “good, bad, and ugly” to point out potential pitfalls and to optimize post-surgery results. With the help of more than 500 high-quality illustrations and photos and detailed step-by-step instructions the editors, respected experts in their field, describe the most common procedures. Now in its second edition, this comprehensive surgical atlas provides practical guidance for various oncoplastic techniques used in breast conservation surgery and mastectomy with immediate reconstruction. The book will be a valuable resource not only for surgeons specialized in breast cancer therapy, but also for general surgeons and gynecologists as well as for plastic and reconstructive surgeons. |
| goldilocks mastectomy explained: Closing the Cancer Divide Felicia Knaul, Julie Gralow, Rifat A. Atun, Afsan Bhadelia, 2013 Cancer has become a leading cause of death and disability and a serious yet unforeseen challenge to health systems in low-and middle-income countries. A protracted and polarized cancer transition is under way and fuels a concentration of preventable risk, illness, suffering, impoverishment from ill health, and death among poor populations. Closing this cancer divide is an equity imperative. The world faces a huge, unperceived cost of failure to take action that requires an immediate and large-scale global response. Closing the Cancer Divide presents strategies for innovation in delivery, pricing, procurement, finance, knowledge-building, and leadership that can be scaled up by applying a diagonal approach to health system strengthening. The chapters provide evidence-based recommendations for developing programs, local and global policy-making, and prioritizing research. The cases and frameworks provide a guide for developing responses to the challenge of cancer and other chronic illnesses. The book summarizes results of the Global Task Force on Expanding Access to Cancer Care and Control in Developing Countries, a collaboration among leaders from the global health and cancer care communities worldwide, originally convened by Harvard University. It includes contributions from civil society, global and national policy-makers, patients and practitioners, and academics representing an array of fields. |
| goldilocks mastectomy explained: The Curious Country Leigh Dayton, 2013-12-03 By definition scientists are an inquisitive lot. But what are the scientific curiosities and concerns on the minds of Australians? What worries them, baffles them, and sets their curiosity meter to 10 out of 10? To find out, the Office of the Chief Scientist (OCS) took the nation’s intellectual temperature, surveying 1186 Australians: men and women aged 18 to 65, from all education levels and locations around Australia. The results frame this book: a collection of essays covering the diverse areas of science Australians are curious about. Edited by eminent science writer Leigh Dayton and including a foreword from Australia’s Chief Scientist, Ian Chubb. The collection covers a range of issues, including food and farming technology, environmental upheaval, health, fuel and energy technology and space exploration. |
| goldilocks mastectomy explained: Philosophical Reflections on Disability D. Christopher Ralston, Justin Ho, 2009-09-19 This project draws together the diverse strands of the debate regarding disability in a way never before combined in a single volume. After providing a representative sampling of competing philosophical approaches to the conceptualization of disability as such, the volume goes on to address such themes as the complex interplay between disability and quality of life, questions of social justice as it relates to disability, and the personal dimensions of the disability experience. By explicitly locating the discussion of various applied ethical questions within the broader theoretical context of how disability is best conceptualized, the volume seeks to bridge the gap between abstract philosophical musings about the nature of disease, illness and disability found in much of the philosophy of medicine literature, on the one hand, and the comparatively concrete but less philosophical discourse frequently encountered in much of the disability studies literature. It also critically examines various claims advanced by disability advocates, as well as those of their critics. In bringing together leading scholars in the fields of moral theory, bioethics, and disability studies, this volume makes a unique contribution to the scholarly literature, while also offering a valuable resource to instructors and students interested in a text that critically examines and assesses various approaches to some of the most vexing problems in contemporary social and political philosophy. |
| goldilocks mastectomy explained: Trans Men in the South Baker A. Rogers, 2020-01-23 Through the voices of 51 trans men, Baker A. Rogers analyzes what it means to be a trans man in the southeastern United States. Rogers argues that the common themes that pervade trans men’s experiences in the South are complicated by other intersecting identities, such as sexuality, religion, race, class, and place. This study explores the intersectionalities of a group of people who are often invisible, by choice or necessity, in broader culture. Rogers engages with debates about trans experiences of masculinity, ‘passing,’ and discrimination within LGTBQ spaces in order to provide a comprehensive study of trans men’s experiences. |
| goldilocks mastectomy explained: Breast Prostheses and Reconstruction Ruth Sheard, Kate Murchison, 2020-07 This booklet contains information on breast prostheses and breast reconstruction options for women who have had or who are considering having a partial of complete removal of one or both breasts. It was developed with help from a range of health professionals and women who have worn breast prostheses and/or have had breast reconstruction. |
| goldilocks mastectomy explained: Ethics in Psychology and the Mental Health Professions Gerald P. Koocher, Patricia Keith-Spiegel, 2016 Revised edition of the authors' Ethics in psychology and the mental health professions, 2008. |
| goldilocks mastectomy explained: Sabiston Textbook of Surgery Courtney M. Townsend, David C. Sabiston, 2001 The 16th Edition of this classic text provides surgeons with the most comprehensive information available in this field. This exhaustive revision includes more than 1,500 illustrations and 1,800 of the most recent references available in surgery. Included are: advances in cardiothoracic surgery, neurosurgery, plastic and maxillofacial surgery, pediatric surgery, hand surgery, orthopedics, gynecology, and urology, as well as the historical and developmental aspects of surgical practice and the anatomical, pathological, physiological, biochemical and molecular basis of several disorders. |
| goldilocks mastectomy explained: Callings Gregg Michael Levoy, 1998-09-08 How do we know if we're following our true callings? How do we sharpen our senses to cut through the distractions of everyday reality and hear the calls that are beckoning us? is the first book to examine the many kinds of calls we receive and the great variety of channels through which they come to us. A calling may be to do something (change careers, go back to school, have a child) or to be something (more creative, less judgmental, more loving). While honoring a calling's essential mystery, this book also guides readers to ask and answer the fundamental questions that arise from any calling: How do we recognize it? How do we distinguish the true call from the siren song? How do we handle our resistance to a call? What happens when we say yes? What happens when we say no? Drawing on the hard-won wisdom and powerful stories of people who have followed their own calls, Gregg Levoy shows us the many ways to translate a calling into action. In a style that is poetic, exuberant, and keenly insightful, he presents an illuminating and ultimately practical inquiry into how we listen and respond to our calls, whether at work or at home, in our relationships or in service. Callings is a compassionate guide to discovering your own callings and negotiating the tight passages to personal power and authenticity. |
| goldilocks mastectomy explained: Frequently Asked Questions About Cosmetic Surgery Frances O'Connor, Nellie Vlad, 2011-12-15 Addresses procedures, issues, risks, and dangers associated with cosmetic surgery and explains how it differs from plastic and reconstructive surgeries. |
| goldilocks mastectomy explained: NCCN Guidelines for Patients® Invasive Breast Cancer National Comprehensive Cancer Network® (NCCN®), 2023-04-18 [OFFICIAL CURRENT VERSION] From the National Comprehensive Cancer Network (NCCN) comes this essential guide to Invasive Breast Cancer. Based on clinical treatment guidelines used by doctors and oncology professionals around the world, these NCCN Guidelines for Patients help patients and caregivers talk with their doctors and make treatment decisions. Topics include: Breast cancer basics, Testing for breast cancer, Breast cancer staging, Treating breast cancer, Surgery first, Preop treatment first, The breast after surgery, Recurrence, Making treatment decisions, Words to know, NCCN Contributors, NCCN Cancer Centers, Index |
| goldilocks mastectomy explained: Feminist Thought Rosemarie Tong, 2009 A critical introduction to the major traditions of feminist theory, now with new considerations of care-focused, postcolonial, and third-wave feminism. |
| goldilocks mastectomy explained: The Wondrous Story of Anesthesia Edmond I Eger II, Lawrence J. Saidman, Rod N. Westhorpe, 2013-09-14 Edited and written by an international who's who of more than 100 authors, including anesthesiologists, nurse anesthetists, bench scientists, a surgeon, and representatives of industry, this text provides a comprehensive history of anesthesia, unique in its focus on the people and events that shaped the specialty around the world, particularly during the past 70 years when anesthesia emerged from empiricism and developed into a science-based practice. |
| goldilocks mastectomy explained: Missing in Sydney Andrea M. Hutchinson, Laura Clyde, 2013-02-18 ADVENTURE Three best friends are travelling around Australia in search of adventure before they start university back home in the UK. But after celebrating Christmas Day on Sydney’s Bondi Beach one of them goes missing. Lisa is just an ordinary 18-year-old, so why would anyone want to kidnap her? Amy and Claire are determined to find her, but as they search desperately through the city of Sydney they do not know that Lisa and her kidnapper share a chilling connection … Dossiers: Sydney Around Australia |
| goldilocks mastectomy explained: Personalised Medicine, Individual Choice and the Common Good Britta van Beers, Britta Chongkol van Beers, Sigrid Sterckx, Donna Dickenson, 2018-11-22 Asks whether personalised medicine is superior to 'one-size-fits-all' treatment. Does it elevate individual choice above the common good? |
| goldilocks mastectomy explained: Anagram Solver Bloomsbury Publishing, 2009-01-01 Anagram Solver is the essential guide to cracking all types of quiz and crossword featuring anagrams. Containing over 200,000 words and phrases, Anagram Solver includes plural noun forms, palindromes, idioms, first names and all parts of speech. Anagrams are grouped by the number of letters they contain with the letters set out in alphabetical order so that once the letters of an anagram are arranged alphabetically, finding the solution is as easy as locating the word in a dictionary. |
| goldilocks mastectomy explained: #Goldilocks Jeanne Willis, 2020 Everyone loves Goldilocks' hilarious online videos, but in her quest to get more likes, more laughs and more hits, she tries something a little more daring: stealing porridge #pipinghot, breaking chairs #fun, and using someone else's bed #sleep. What will Daddy Bear do when he sees that online? A hilarious cautionary tale for a new generation of internet-users from the prize-winning partnership of Jeanne Willis and Tony Ross. |
| goldilocks mastectomy explained: Big Boned Jo Watson, 2022-10-25 Can she be herself in a one-size-fits-all world? Lori Palmer is the new girl at Bay Water High, where students prize glossy hair, “beach” bodies, and thigh gaps above all else, which is so not her. She misses her old school, where her artistic talent was more important to her peers than a chia smoothie recipe ever was. Uncomfortable in her own size-sixteen skin, Lori decides to survive senior year as best she can by blending into the background while she melts in the summer heat. But her plans go completely awry when she discovers popular jock Jake volunteering at her brother Zac’s school. When her brother befriends Jake’s sister, Lori is suddenly thrust into Jake’s unfamiliar world of water polo, parties, and stargazing. As she grows closer to Jake, and her relationship with her mother starts to deteriorate, Lori’s old anxieties resurface and she throws herself into her art. It’s a wildly new direction for Lori, and through it she realizes that finding her voice might get her into a world of trouble, but standing up for what she believes in is as important as standing up for herself. |
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| goldilocks mastectomy explained: Ethics in Psychology Gerald P. Koocher, Patricia Keith-Spiegel, 1998 Written in a highly readable and accessible style, this new edition retains the key features that have contributed to its popularity, including hundreds of case studies that provide illustrative guidance on a wide variety of topics, including fee setting, advertising for clients, research ethics, sexual attraction, how to confront observed unethical conduct in others, and confidentiality. Ethics in Psychology and the Mental Health Professions will be important reading for practitioners and students in training.--BOOK JACKET. |
| goldilocks mastectomy explained: Breast Cancer and Surgery Nilufer Bulut, 2018-11-21 The book 'Breast Cancer and Surgery' summarizes the treatment options from the onset of breast carcinogenesis to early-local advanced and metastatic breast cancer. Chemotherapy alternatives, drug resistance and local and surgical treatment preferences are extensively discussed and this information is especially directed at clinicians, researchers, and students. This book includes a comparison between different chemotherapy agents and targeted therapies with published phase II-III studies. The importance of palliative care and dietary supplements administered during the treatment course in reducing the comorbidity of patients is emphasized. Photodynamic treatments have been included in this book. A comprehensive and up-to-date information exchange that can be accessed through a single source is provided to all researchers interested in breast cancer. |
| goldilocks mastectomy explained: Wound, Ostomy and Continence Nurses Society Core Curriculum: Continence Management JoAnn Ermer-Seltun, Sandy Engberg, 2021-03-04 Based on the curriculum blueprint of the Wound, Ostomy, and Continence Nursing Education Programs (WOCNEP) and approved by the Wound, Ostomy, and Continence Nurses SocietyTM (WOCN®), this practical text for continence care is your perfect source for expert guidance, training and wound, ostomy and continence (WOC) certification exam preparation. Full of expert advice, fundamental principles and vital clinical skills on continence care, Core Curriculum Continence Management, 2nd Edition is one of the few nursing texts to cover this practice area in detail. |
| goldilocks mastectomy explained: The Breast K. I. Bland, Edward M. Copeland, 2009 Offering the most comprehensive, up-to-date information on the diagnosis and management of, and rehabilitation following, surgery for benign and malignant diseases of the breast, this surgical reference is now in a new edition available in both print and online for easy, convenient access to the absolute latest advances. |
| goldilocks mastectomy explained: Patients' Preferences Matter Albert G. Mulley, Chris Trimble, Glyn Elwyn, 2012-05 This report discusses patient preference and challenges the NHS to stop 'the silent misdiagnosis' and take more account of patient preferences. It argues that by doing so it will improve not only the service offered to patients but also the performance of the health system as a whole. |
| goldilocks mastectomy explained: Nipple Sparing Mastectomy Alberta Ferrari, Adele Sgarella, Sandro Zonta, 2013-07-30 This book describes in detail three different techniques for minimally invasive video-assisted breast surgery: nipple-sparing mastectomy with a hand-held external retractor, with a single-port device, and with robotic assistance. All three techniques can be employed for radical treatment of breast cancer or for risk reduction surgery, and the last two are brand new. The techniques are clearly explained with the aid of numerous high-quality illustrations. All surgical stages are covered in detail, and helpful information is provided on key aspects of surgical anatomy, diagnostic workup, instrumentation, and postoperative management. Nipple Sparing Mastectomy is the first manual to cover these techniques, which are likely to become standard in the field of oncological breast surgery. It will be invaluable for breast surgeons who are skilled in nipple-sparing mastectomy and oncoplastic techniques or are working in breast units that offer genetic counseling to high-risk patients. |
| goldilocks mastectomy explained: An Overview of TCI and TIVA Anthony Absolom, Michel Struys, 2019-03-18 An Overview of TCI and TIVA was written by two pioneers in the field of targeted drug delivery in anesthesia. Despite its small size, this book is a rich source of information on the structure, function, and clinical applications of target-controlled infusion (TCI) systems. [...] The text has the appearance of class notes rather than a formal manual; however, this feature enhances the tutorial dynamics of the book and should attract individuals involved in learning such as anesthesia residents and specialists flirting with total intravenous anesthesia (TIVA).' - David O. Warner, editor of Anesthesiology. AUTHORS: Anthony Absolom is Professor of Anesthaesiology at the University of Groningen. Michel Struys is Professor on Anaesthesia at Ghent University and the Universal Medical Center Groningen and Director at the British Journal of Anaesthesia. 27 b/w images |
| goldilocks mastectomy explained: Reoperative Abdominal Surgery Solly Mizrahi, Petachia Reissman, Hiram C Polk, 2014-07-21 Reoperation is one of surgery’s greatest challenges. This book provides a practical reference on how to prevent, identify and treat all abdominal complications. Organised primarily by body system Reoperative Abdominal Surgery covers the spectrum of conditions and complications faced by the general surgeon. Separate chapters also cover safety issues, and specific issues related to diagnosis, surgical technique and patient presentation. Combining the expertise and advice of leading international surgeons the book offers a clinical instructive manual for trainee and practising surgeons. Focus on abdominal surgery the key province of the general surgeon Expert guidance on the prevention, identification and management of post-operative complications Key reference on difficult surgical area for residents and young surgeons Experience and advice from best surgeons around the world Covers entire spectrum of reoperative abdominal surgery |
| goldilocks mastectomy explained: Reflexive Embodiment In Contemporary Society Crossley, Nick, 2006-09-01 In this book, Nick Crossley considers the ways in which we modify and maintain our bodies, from brushing our teeth and washing our faces through to tattooing and bodybuilding. |
| goldilocks mastectomy explained: Augmentation Mastopexy M. Bradley Calobrace, Bill G. Kortesis, Gaurav Bharti, Chet Mays, 2020-10-05 Breast augmentation paired with mastopexy is often regarded as a challenging procedure since it is essentially two surgeries in one. Because of the complexity of the dual procedure, as well as the careful planning required, many doctors avoid performing these surgeries together, instead preferring their patient to undergo two separate surgeries.These two procedures can be safely performed with methodical planning and intra operative execution. This book provides not only insight and instruction on a variety of mastopexy procedures and accompanying types of breast augmentation, but it will also help the clinician determine the optimal surgery for each individual patient. Primarily meant for practicing aesthetic plastic surgeons, Augmentation Mastopexy -- Mastering the Art in the Management of the Ptotic Breast will also find use among plastic surgery fellows and plastic surgery residents. Unlike some of the competitive literature that briefly touches on the topic or simply provides an overview, the information provided is methodical and comprehensive, providing a wealth of color images to accompany the techniques described. Case studies with long-term follow up are also included, offering not only an understanding of potential pitfalls but a veritable how-to for handling complications when they do arise. |
| goldilocks mastectomy explained: Methods in Comparative Effectiveness Research Constantine Gatsonis, Sally C. Morton, 2017-02-24 Comparative effectiveness research (CER) is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition or to improve the delivery of care (IOM 2009). CER is conducted to develop evidence that will aid patients, clinicians, purchasers, and health policy makers in making informed decisions at both the individual and population levels. CER encompasses a very broad range of types of studies—experimental, observational, prospective, retrospective, and research synthesis. This volume covers the main areas of quantitative methodology for the design and analysis of CER studies. The volume has four major sections—causal inference; clinical trials; research synthesis; and specialized topics. The audience includes CER methodologists, quantitative-trained researchers interested in CER, and graduate students in statistics, epidemiology, and health services and outcomes research. The book assumes a masters-level course in regression analysis and familiarity with clinical research. |
| goldilocks mastectomy explained: Feminist Thought Rosemarie Tong, 1989 In this survey of feminist theory, Rosemarie Tong provides coverage of the psychoanalytic, existential and postmodern schools of feminism. The author guides the reader through the complexities of even the most notoriously difficult thinkers. Students will meet and become familiar with many of the essential figures in the feminist tradition, from Wollstonecraft and Engel, on through de Beauvoir, Dinnerstein, and Daly, and up to Mitchell and Cixous. The text treats all views with respect and encourages students to think critically and sympathetically about a wide range of views that have a direct relevance to their own lives. |
| goldilocks mastectomy explained: Antioxidants in Foods and Its Applications Emad Shalaby, Ghada Mostafa Azzam, 2018-07-11 Free radicals are atoms or molecules containing unpaired electrons. Damage occurs when the free radical encounters another molecule and seeks to find another electron to pair its unpaired electron. Free radicals can cause mutation in different biological compounds such as protein, nucleic acids, and lipids, and the damage caused by the free radicals lead to various diseases (cancer, cardiovascular disease, aging, etc.). Antioxidants are helpful in reducing and preventing damage from free radical reactions because of their ability to donate electrons, which neutralize the radical without forming another. Ascorbic acid, for example, can lose an electron to a free radical and remain stable itself by passing its unstable electron around the antioxidant molecule. Unfortunately, new data indicate that the synthetic antioxidants used in the industry could have carcinogenic effects on human cells, thus fueling an intense search for new, natural, and efficient antioxidants. Therefore, the current book discusses the role and source of antioxidant compounds in nutrition and diets. Also, the current book includes nine chapters contributed by experts around the world, and the chapters are categorized into two sections: Antioxidant Compounds and Biological Activities and Natural Antioxidants and Applications. |
| goldilocks mastectomy explained: What Do We Need Men For? E. Jean Carroll, 2019-07-02 A The Washington Post 50 notable works of nonfiction in 2019 A work of comic genius. —Mary Norris, The New Yorker “Darkly humorous and deadly serious.” –Sibbie O'Sullivan, Washington Post “A compulsively interesting feminist memoir.” –Virginia Heffernan, Slate Somehow hilarious, in the way that only E. Jean could have written it –Leigh Haber, Oprah Magazine America's longest running advice columnist goes on the road to speak to women about hideous men and whether we need them. When E. Jean Carroll—possibly the liveliest woman in the world and author of the “Ask E. Jean” advice column in Elle Magazine, realized that her eight million readers and question-writers all seemed to have one thing in common—problems caused by men—she hit the road. Crisscrossing the country with her blue-haired poodle, Lewis Carroll, E. Jean stopped in every town named after a woman between Eden, Vermont and Tallulah, Louisiana to ask women the crucial question: What Do We Need Men For? E. Jean gave her rollicking road trip a sly, stylish turn when she deepened the story, creating a list called “The Most Hideous Men of My Life,” and began to reflect on her own sometimes very dark history with the opposite sex. What advice would she have given to her past selves—as Miss Cheerleader USA and Miss Indiana University? Or as the fearless journalist, television host, and eventual advice columnist she became? E. Jean intertwines the stories of the fascinating people she meets on her road trip with her “horrible history with the male sex” (including mafia bosses, media titans, boyfriends, husbands, a serial killer, and a president), creating a decidedly dark yet hopeful, hilarious, and thrilling narrative. Her answer to the question What Do We Need Men For? will shock men and delight women. |
| goldilocks mastectomy explained: Grainger & Allison's Diagnostic Radiology Andy Adam, Ronald G. Grainger, Adrian K. Dixon, David J. Allison, 2007 Organised along an organ and systems basis, this comprehensive reference source covers all diagnostic and interventional imaging techniques and modalities in an integrated, correlative fashion. |
| goldilocks mastectomy explained: Molecular Pathology of Lung Cancer Philip T. Cagle, Timothy Craig Allen, Mary Beth Beasley, Lucian R. Chirieac, Sanja Dacic, Alain C. Borczuk, Keith M. Kerr, 2012-06-14 As with other books in the Molecular Pathology Library Series, Molecular Pathology of Lung Cancer bridges the gap between the molecular specialist and the clinical practitioner, including the surgical pathologist who now has a key role in decisions regarding molecular targeted therapy for lung cancer. Molecular Pathology of Lung Cancer provides the latest information and current insights into the molecular basis for lung cancer, including precursor and preinvasive lesions, molecular diagnosis, molecular targeted therapy, molecular prognosis, molecular radiology and related fields for lung cancer generally and for the specific cell types. As many fundamental concepts about lung cancer have undergone revision in only the past few years, this book will likely be the first to comprehensively cover the new molecular pathology of lung cancer. It provides a foundation in this field for pathologists, medical oncologists, radiation oncologists, thoracic surgeons, thoracic radiologists and their trainees, physician assistants, and nursing staff. |
| goldilocks mastectomy explained: Beating Cancer with Nutrition Patrick Quillin, 2005 In this revision of the best-seller, Dr. Patrick Quillin shares his extensive and very practical experience in helping thousands of cancer patients with a nutrition program of diet and supplements, including nutrients to reduce the toxic side effects of chemo and radiation. This book has been translated in Japanese, Korean and Chinese. Reissue. |
| goldilocks mastectomy explained: Wound, Ostomy and Continence Nurses Society® Core Curriculum: Ostomy Management Janice Colwell, Jane Carmel, Wound, Ostomy and Continence Nurses Society®, 2015-04-28 Ostomy Management, First Edition, is one of three volumes in the Series that follows the Curriculum Blueprint designed by the Wound, Ostomy and Continence Nurses Society (WOCN). It is the ideal reference for anyone seeking certification as an ostomy or continence nurse, as well as anyone who manages patients needing fecal and urinary diversions, or ostomy management. |
| goldilocks mastectomy explained: Bufón Ha Perdido Su Gracia David Saltzman, 2012 When they discover that laughter is missing from their kingdom, a jester and his helpmate set out on a quest to find it. |
