Howard-McNatt Marissa. Changing Paradigms in the Management of Breast Cancer

Springer, 2018. — 241 p. — ISBN: 978-3-319-60335-3.This is the first edition of Changing Paradigms in the Management of Breast Cancer. Breast cancer treatment has evolved over the past 20 years. Breast conservation and mastectomy have been the mainstay of treatment; however, sentinel lymph node biopsy has become the standard of care. Surgically, we have had debates on, and now hopefully resolution of, margin status, and we have witnessed the rise of contralateral prophylactic mastectomy. On the systemic side, there has been an increase in targeted therapy especially with Her2 agents. The use of genomic profiling has also spurred an era of new management of breast cancer patients. Many aspects of breast cancer care continue to evolve. This text is designed to present a comprehensive and state-of the-art approach to the management of breast cancer within the fields of surgery, medical oncology, and radiation oncology. Sections will address changes in these fields. We will start with examining new techniques in breast imaging. This will be followed by surgical issues including the management of the axilla, surgical margins, and nipple-sparing and contralateral mastectomies as well as current trends in breast reconstruction. Atypical lesions of the breast will be highlighted. Subsequent chapters will focus on issues in medical oncology including triple-negative breast cancer and metastatic disease. New paradigms in radiation oncology treatment will be explored. Breast cancer treatment in the elderly and in the young and genetic risk in breast cancer management will also be discussed. Written by a diverse and distinguished group of experts in their field, each of these sections will address advances and changes in the field. A brief review of the existing literature addressing the particular topic will be included in each section. Finally, I would like to thank Maureen Alexander for helping in the preparation of the manuscript. Access to a comprehensive multidisciplinary resource for breast cancer patients is currently limited in the literature. As such, there is no single source to provide information on advances and outcomes for physicians, fellows, residents, nurse practitioners, and physician assistants caring for breast cancer patients in a multidisciplinary setting. We hope that Changing Paradigms in the Management of Breast Cancer becomes a useful resource for clinicians and adds to the knowledge necessary to provide up-to-date care for our patients with breast cancer.