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020 _a9783030880200
024 7 _a10.1007/978-3-030-88020-0
_2doi
040 _aES-MaUEC
_bspa
_cES-MaUEC
_dES-MaUEC
050 4 _aRC280.B8
_b2022 EB
245 0 0 _aManagement of the Breast and Axilla in the Neoadjuvant Setting
_cedited by Atilla Soran, Faina Nakhlis
250 _a1st edition 2022
264 1 _aCham
_bSpringer International Publishing
_c2022
300 _a1 recurso en línea (XI, 377 páginas)
_b152 ilustraciones, 80 ilustraciones a color
336 _atexto
_btxt
_2rdacontent
337 _aelectrónico
_bc
_2rdamedia
338 _arecurso electrónico
_bcr
_2rdacarrier
347 _aarchivo de texto
_bPDF
505 0 _aEvolution of the indications for neoadjuvant systemic therapy -- Defining response -- Imaging of the breast -- Imaging of the axilla and approach to node-negative vs. node-positive disease at presentation -- Guidelines for imaging during neoadjuvant systemic therapy -- Neoadjuvant systemic therapy based on the underlying tumor biology -- Adjuvant vs. neoadjuvant systemic therapy -- Molecular testing and personalized neoadjuvant treatment -- Pre-and post-neoadjuvant systemic therapy imaging assessment -- Surgical management of the axilla in node-negative and node-positive disease at diagnosis -- Surgical considerations and expectations in patients receiving neoadjuvant hormonal therapy and neoadjuvant chemotherapy -- Postmastectomy radiation considerations in patients receiving neoadjuvant chemotherapy -- Pathologic evaluation in neoadjuvant systemic therapy setting -- Guidelines for Neoadjuvant systemic therapy -- Ongoing Clinical studies and future direction.
520 _aOver the last several decades breast cancer management has made great strides in the improvement of oncologic treatment outcomes, particularly so in patients with early stage disease. While wide-spread access to screening resulting in early detection is undoubtedly to be credited for this trend, at the same time, the management of breast cancer has evolved to be an intricate multidisciplinary collaboration between breast imagers, surgeons, medical oncologists and radiation oncologist. As a result, with better mutual understanding of multidisplinary goals and challenges, the treatment strategies have become more individualized, with a great emphasis being placed on the intrinsic disease biology. Furthermore, the indications for neoadjuvant systemic therapy have significantly broadened, with a substantial number of patients with early stage breast cancer being able to take advantage of this strategy to decrease the extent of breast surgery they would undergo at its completion. As such, the management of the axilla in these patients has presented with new challenges as well as with new opportunities to scale down on the extent of local therapy and, consequently, its toxicity. This text will provide a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians (surgeons, medical oncologists, radiation oncologists) and researchers with an interest in breast cancer. The book will review novel and evoling strategies in neoadjuvant systemic therapy forn early stage breast cancer, provide new perspectives about appropriate axillary imaging in anticipation of neoadjuvant systemic therapy, and describe new data on innovative surgical techniques and Radiation Oncology concepts designed to deescalate the extent and toxicity of local therapy while insuring oncologic safety. Several landmark clinical trials have been published in the last few years and will be placed in context with respect to current management. Integration of novel diagnostic and interventional breast imaging, local therapy (surgery and radiation) with contemporary systemic therapy will also be discussed. This text will serve as a very useful resource for physicians and researchers dealing with, and interested in, this challenging field. It will provide a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters will be written by experts in their fields and will include the most up to date scientific and clinical information.
988 _aSpringer_Medicine_2022
650 7 _2embne
_9182522
_aMamas
_xCáncer
776 0 8 _iPrinted edition:
_z9783030880194
776 0 8 _iPrinted edition:
_z9783030880217
776 0 8 _iPrinted edition:
_z9783030880224
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-3-030-88020-0
_zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
942 _2lcc
_cLE
998 _b01/2023
_dz
_eb
_zSI