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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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.