Tag Archives: Breast Surgery

General Surgery, Print Release

PUBLISHED: Lumpectomy and Sentinel Lymph Node Biopsy Using Lumicell System for Intraoperative Detection of Residual Cancer

Lumpectomy and Sentinel Lymph Node Biopsy Using Lumicell System for Intraoperative Detection of Residual Cancer
Barbara Smith, MD, PhD
Massachusetts General Hospital

This case presentation involved a female patient with breast cancer who underwent a lumpectomy and sentinel lymph node biopsy using the Lumicell system for intraoperative detection of residual cancer. The aim was to detect residual tumor cells during the initial operation and avoid subsequent surgeries. This video provides a thorough presentation of lumpectomy and sentinel lymph node biopsy utilizing the Lumicell system to detect any remaining cancer during surgery. The video covers the entire process, from preoperative preparation to the final step of skin closure.

General Surgery, Global Surgery, Plastic Surgery, Print Release

PUBLISHED: The Versatile Latissimus Dorsi Muscle as a Local Flap for Chest Wall Coverage

The Versatile Latissimus Dorsi Muscle as a Local Flap for Chest Wall Coverage
Geoffrey G. Hallock, MD1; Yoko Young Sang, MD2
1Sacred Heart Campus, St. Luke’s Hospital
2Louisiana State University Shreveport

Occasionally, the treatment of breast cancer requires the removal of the breast while also leaving a large chest skin deficit. Especially if radiation has been done or is planned, the best way to restore the missing skin to preserve its essential function would be by the use of a vascularized flap. Sometimes this can be achieved while simultaneously providing a reconstruction of a very aesthetic breast mound. Depending on circumstances and the extent of disease, a simpler solution might be to just close only the chest wound that has been created.

A “workhorse” flap alternative that is almost always available to achieve this is the latissimus dorsi (LD) muscle from the back, as this can be moved to almost all regions of the chest. The LD muscle usually can be swung to the chest about its blood vessels that remain attached to the armpit, and so would be called a local flap that as such avoids the complexities of a transfer requiring microsurgery to reconnect the blood supply. The long-term experience by reconstructive surgeons in using the LD muscle as a local flap, not just for the chest but also the back, head, and neck, has proven its deserved accolade to be a versatile flap unparalleled by most other donor sites.

Print Release

PUBLISHED: Left Lumpectomy with Wireless Seed Localization for Ductal Carcinoma In Situ

Left Lumpectomy with Wireless Seed Localization for Ductal Carcinoma In Situ
Massachusetts General Hospital

Bridget N. Kelly
MGH

Carson L. Brown
MGH

Michelle C. Specht, MD
Operating Surgeon, MGH

The patient in this case is a 58-year-old postmenopausal woman who was seen for consultation regarding the management of newly-diagnosed ductal carcinoma in situ (DCIS) of the left breast detected on routine screening mammogram with no clinical or radiological evidence of lymph node involvement.

Breast-conserving surgery with radiation for early-stage breast cancers provides equivalent survival rates to mastectomy when all surgical margins are clear of residual cancer. For patients whose tumors are not palpable upon physical examination, preoperative localization of the malignant tissue to be removed is necessary.

In this video, Dr. Specht at MGH performs and narrates a lumpectomy using wireless seed localization to target the lesion and taking shave margins to reduce the risk of recurrence.


Announcement, General Surgery, Preprint Release

PREPRINT RELASE: Fine-Needle Aspiration Biopsy and Excision Biopsy of a Cystic Mass in the Right Breast (Male)


Fine-Needle Aspiration Biopsy and Excision Biopsy of a Cystic Mass in the Right Breast (Male)
Romblon Provincial Hospital

Chito Cruz, MD
Perpetual Help Medical Center

Jim Villamin, MD
Makati Medical Center

Dinesh Ranjan, MD
Roseburg, VA Health Care System

Marcus Lester R. Suntay, MD, FPCS, FPSPS, FPALES
Philippine Children’s Medical Center

Jaymie Ang Henry, MD, MPH
Florida Atlantic University, G4 Alliance

In this case, Drs. Cruz, Villamin, Ranjan, and Suntay perform a fine-needle aspiration biopsy and an excision biopsy followed by histological examination, which revealed a benign lesion. This case was filmed in the Philippines, during a surgical mission through the World Surgical Foundation.

Announcement, General Surgery, Preprint Release

PREPRINT RELEASE: Left Lumpectomy with Wireless Seed Localization


Left Lumpectomy with Wireless Seed Localization
Massachusetts General Hospital

Michelle C. Specht, MD
Assistant Professor of Surgery
Harvard Medical School

On screening mammogram, the patient in this case was found to have ductal carcinoma in situ with calcifications and an area of concern measuring around 2.5 cm. In this video, Dr. Specht performs and narrates a left lumpectomy and explains how to use wireless seed localization in order to more accurately excise the affected area and reduce the risk of recurrence.

Announcement, Content, General Surgery, Preprint Release

PREPRINT RELEASE: Lumpectomy with Sentinel Node Biopsy

Lumpectomy with Sentinel Node Biopsy
Massachusetts General Hospital

Barbara Smith, MD, PhD
Professor of Surgery
Harvard Medical School

Dr. Barbara Smith at MGH performs a lumpectomy and sentinel lymph node biopsy on a female patient who had palpable breast cancer. This case was part of a study featuring Lumicell technology, which looks for residual tumor following the lumpectomy with the goal of reducing rates of recurrence.