Breast Cancer for the Plastic Surgeon

Chapter 1 of Volume 4, Breast, Trunk, Lower Limb & Aesthetics. Revision notes for the FRCS (Plast).

What this chapter covers

• TNM Classification of Breast Cancer
• High-penetrance mutations
• Other inherited syndromes (moderate risk)
• Li–Fraumeni Syndrome (LFS)
• Clinical Presentation
• Triple Assessment
• Invasive Carcinomas
• Lobular Carcinoma In Situ (LCIS) vs Ductal Carcinoma In Situ (DCIS)
• NICE Risk Categories (UK)
• When Do You Do Systemic Staging Scans Indications for CT TAP (± bone scan)
• Breast Cancer – Molecular Subtypes & Prognostic Factors
• Nipple-Sparing Mastectomy (NSM) – Indications
• 5 Reconstruction & Oncological Safety
• Immediate vs. Delayed Breast Reconstruction
• Paget’s disease of the nipple (Mammary Paget’s disease)
• Primary Lymphatic Drainage of the Nipple–Areola Complex
• Phyllodes Tumour (Cystosarcoma Phyllodes)
• Angiosarcoma of the Breast
• Why metronidazole is used for fungating malignant wound dressings :
• Alginate dressings
• Intraductal papilloma
• Atypical Ductal Hyperplasia (ADH)