General Considerations

Many factors should be considered in planning breast reconstruction:

™ Stage of the disease: tumor size, palpable lymph nodes.

™ type of ablative surgery:

- Conservative treatment: tumorectomy or quad-rantectomy.

- Mastectomy: modified radical versus skin sparing versus subcutaneous mastectomy.

™ Therapy: chemotherapy, irradiation. ™ General risk factors: smoking, diabetes, etc. ™ Patient expectation.

Depending on the timing of the reconstruction, whether primary or secondary, specific points should be investigated and discussed with the patient: ™ Scar position. ™ Nipple-areola preservation. ™ Size of the reconstructed breast. ™ History of previous irradiation. ™ Status of contralateral breast: indications for prophylactic mastectomy, mastopexy, reduction or augmentation, or no surgery.

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Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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