Mastectomy, Segmental

Publication Title: 
International Journal of Radiation Oncology, Biology, Physics

PURPOSE: To investigate the incidence of and variables associated with clinically evident fat necrosis in women treated on a protocol of high-dose-rate (HDR) brachytherapy alone without external-beam whole-breast irradiation for early-stage breast carcinoma. METHODS AND MATERIALS: From 6/1997 until 8/1999, 30 women diagnosed with Stage I or II breast carcinoma underwent surgical excision and postoperative irradiation via HDR brachytherapy implant as part of a multi-institutional clinical Phase I/II protocol.

Author(s): 
Wazer, D. E.
Lowther, D.
Boyle, T.
Ulin, K.
Neuschatz, A.
Ruthazer, R.
DiPetrillo, T. A.
Publication Title: 
Pflege

Little is known both about how women suffering from breast cancer cope with their illness in the perioperative phase and about the ability of nurses to assess this. By means of the self-rating and external rating versions respectively of the Bernese Coping Modes (BEFO), it was determined how breast cancer patients cope with their illness during primary surgical therapy. External rating was carried out by the nurses and two researchers. The nurses' rating based on their daily care experiences, and the researcher's rating based on a half-standardized interview.

Author(s): 
Holtgr‰we, Martina
Pinkert, Christiane
Remmers, Hartmut
Publication Title: 
Journal of the National Cancer Institute

BACKGROUND: Breast cancer surgery is associated with side effects, including postsurgical pain, nausea, and fatigue. We carried out a randomized clinical trial to test the hypotheses that a brief presurgery hypnosis intervention would decrease intraoperative anesthesia and analgesic use and side effects associated with breast cancer surgery and that it would be cost effective.

Author(s): 
Montgomery, Guy H.
Bovbjerg, Dana H.
Schnur, Julie B.
David, Daniel
Goldfarb, Alisan
Weltz, Christina R.
Schechter, Clyde
Graff-Zivin, Joshua
Tatrow, Kristin
Price, Donald D.
Silverstein, Jeffrey H.
Publication Title: 
The American Journal of Clinical Hypnosis

This case report describes an effort to control two primary side-effects of breast cancer radiotherapy (fatigue and skin discomfort) that used a combination of cognitive-behavioral therapy with hypnosis (CBTH). Two patients, matched on demographic and medical variables (marital status, employment status, number of children, cancer diagnosis, surgical history, radiation dose), were compared: one who received a CBTH intervention and one who received standard care.

Author(s): 
Schnur, Julie B.
Montgomery, Guy H.
Publication Title: 
Journal of Consulting and Clinical Psychology

OBJECTIVE: The present study was designed to test the hypotheses that response expectancies and emotional distress mediate the effects of an empirically validated presurgical hypnosis intervention on postsurgical side effects (i.e., pain, nausea, and fatigue). METHOD: Women (n = 200) undergoing breast-conserving surgery (mean age = 48.50 years; 63% White, 15% Hispanic, 13% African American, and 9% other) were randomized to a hypnosis or to an attention control group.

Author(s): 
Montgomery, Guy H.
Hallquist, Michael N.
Schnur, Julie B.
David, Daniel
Silverstein, Jeffrey H.
Bovbjerg, Dana H.
Publication Title: 
Annales Françaises D'anesthèsie Et De Rèanimation

The combination of hypnosis and paravertebral block (PVB) was studied in three patients scheduled for breast cancer surgery. The three procedures were realized under hypnosis. Median postoperative pain was rated at zero and comfort felt at 8 on a 10 points scale. Hypnosis could be an alternative to conventional anesthesia in combination with a PVB for breast cancer surgery.

Author(s): 
Bouzinac, A.
Delbos, A.
Mazières, M.
Rontes, O.
Manenc, J.-L.
Publication Title: 
Journal of General Internal Medicine

BACKGROUND: Breast-conserving surgery (BCS) has been the recommended treatment for early-stage breast cancer since 1990 yet many women still do not receive this procedure. OBJECTIVE: To examine the relationship between birthplace and use of BCS in Asian-American and Pacific-Islander (AAPI) women, and to determine whether disparities between white and AAPI women persist over time. DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: Women with newly diagnosed stage I or II breast cancer from 1992 to 2000 in the Surveillance, Epidemiology, and End Results program.

Author(s): 
Goel, Mita Sanghavi
Burns, Risa B.
Phillips, Russell S.
Davis, Roger B.
Ngo-Metzger, Quyen
McCarthy, Ellen P.
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