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Trends in Breast Health Newsletter
IN THIS ISSUE VOL. 2  |  AUG. 2011
Manage the Axilla with Z11 Data
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Meeting Highlights
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ASBS Summary
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Next Generation MammoSite Multi-Lumen
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Accelerated Partial Breast Irradiation Tech Bulletin
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Literature Corner
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Editors' Bios

TRENDS' Editors
Pamela Benitez, MD
Dr. Benitez is a general surgeon focusing exclusively on diseases of the breast and breast cancer at William Beaumont Hospital in Royal Oak, Michigan

Martin Keisch, MD
Dr. Keisch is a board-certified radiation oncologist at University of Miami Hospital and President of Cancer HealthCare Associates (CHCA)

Manage the Axilla with Z11 Data (mini consensus)
Pat Whitworth MD, Director, Nashville Breast Center, Clinical Associate Professor of Surgery, Vanderbilt University

Findings from the American College of Surgeons Oncology Group Z1011 trial have led many leading institutions to stop performing completion axillary dissection in breast conservation patients who have only one or two sentinel nodes with micro- or macro-metastases. As has been the case with all major practice-changing breast cancer clinical trials, "Z11" has been welcomed by some leaders in the field and rejected by others. As with the moves away from radical mastectomy after the NSABP B-04 trial and toward breast conservation with the NSABP B-06 trial, time will ultimately allow incorporation of the important findings from ACOSOG Z11 into common clinical practice.   Read More »
 

ASBS 2011 Summary
 
ASBS: Treatment Affects Risk of DCIS Recurrence ASBS: Prophylactic Mastectomy Good Even Years Later
A study found that women diagnosed with DCIS who were treated with radiation therapy after lumpectomy to surgically excise the DCIS were less likely to have cancer recur in the same breast compared to women who didn't have radiation therapy after surgery.

Excision plus radiotherapy was associated with a 10-year recurrence rate of 18% compared with 30% for surgery alone (P=0.01).   Read More »
Investigators surveyed patients who had contralateral prophylactic mastectomy at the Mayo Clinic from 1960 to 1993. All of the women had unilateral breast cancer and a positive family history.

An initial survey conducted was an average of 10 years after prophylactic mastectomy attracted responses from 583 women (J Clin Oncol 2005; 23: 7849-7856).   Read More »
Hologic Sponsored Meetings
Joint AAPM and COMP Vancouver, BC July 31– August 4, 2011
BIC Annual Meeting Orlando, FL September 20–23, 2011
ASTRO Annual Meeting Miami, FL October 2–6, 2011
Hologic