This book provides up-to-date information on all aspects of ductal carcinoma in situ of the breast, including epidemiology, imaging, pathologic and biologic features, interventional diagnostics, nonpalpable lesion localization, and treatment. Surgical procedures are described in detail, covering breast conservation techniques, conservative mastectomies, breast reconstruction options, and axillary surgery. Guidance is provided on how to ensure adequacy of surgical excision and avoid local recurrence when performing breast conservation surgery and how to minimize morbidity from axillary surgery. The role and techniques of partial and whole breast irradiation are described, and the use of adjuvant systemic therapy options, including endocrine therapy and chemotherapy, is explained. A concluding chapter addresses the issue of recurrence and its current management. This book, designed for ease of consultation, will be of value for all involved in the multidisciplinary care of patients with ductal carcinoma in situ of the breast, including surgeons, medical oncologists, pathologists, radiologists, and radiotherapists.
Carlo Mariotti is Head of the Functional Unit of Breast Surgery at Ancona University Hospital and Professor of Breast Anatomy and Surgery at the Polytechnic University of the Marche Region, Ancona, Italy. Professor Mariotti graduated from Bologna University Medical School in 1979 and gained his Habilitation in Surgery in the same year. He specialized in General Surgery and Thoracic Surgery, and developed his career on the university surgery ward in Ancona. He mastered in Senologic Studies in Paris in 1984. He has since taught general surgery, clinical surgery, pathological surgery, and reconstructive surgery. He took up his present position in 2003, and since 2005 he has also been director of the National School for Breast Surgery. Professor Mariotti is a member of the Italian Surgical Society and the Italian Association of Hospital Surgeons. He has contributed to numerous research papers and scientific articles and has acted as a moderator and speaker at both national and international congresses.
Foreword.- Preface.- 1 General overview.- 2 Epidemiology and risk factors.- 3 Breast imaging.- 4 Interventional diagnostics.- 5 Pathology and biologic features .- 6 Non-palpable lesion localization.- 7 Conservative breast surgery.- 8 Conservative mastectomies and breast reconstruction.- 9 Axillary surgery.- 10 Breast irradiation.- 11 Adjuvant systemic therapy.- 12 Recurrence and related issues.- Subject index.