Chirurgie pour le cancer du sein
Description
Veille informationnelle portant sur les chirurgies pour le cancer du sein et la reconstruction mammaire
Sujets couverts
Période préopératoire
Période périopératoire
Période postopératoire
Reconstruction mammaire
Sources
PubMed
CINAHL Complete
Fréquence
Mensuelle
Bibliothécaire responsable
Romy Otayek
romy.otayek.chum@ssss.gouv.qc.ca
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Ultrasound-guided vacuum-assisted excision: A minimally invasive solution for managing imaging-histological discordant breast lesions after core needle biopsy
Le 18 août 2026
Eur J Radiol. 2026 Aug 10;204:113160. doi: 10.1016/j.ejrad.2026.113160. Online ahead of print. ABSTRACT OBJECTIVE: To evaluate the role of US-guided Vacuum-assisted excision (VAE) in the management of imaging-histological discordant lesions after core needle biopsy (CNB), avoiding unnecessary surgical excision. MATERIALS AND METHODS: We…
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Effects of different resistance exercise programs on upper limb functional recovery in postoperative breast cancer patients
Le 18 août 2026
Surg Oncol. 2026 Aug 10;68:102531. doi: 10.1016/j.suronc.2026.102531. Online ahead of print. ABSTRACT PURPOSE: To investigate the effects of grip strength exercise combined with upper limb resistance exercise on upper limb functional rehabilitation in patients after breast cancer surgery. METHODS: A total of 111 patients who underwent either…
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Factors associated with discordance between pathological and radiological tumor size and risk of re-excision in breast-conserving surgery: a post-hoc analysis within a randomized trial
Le 18 août 2026
Breast Cancer Res Treat. 2026 Aug 13;218(3):46. doi: 10.1007/s10549-026-08052-x. ABSTRACT PURPOSE: Accurate preoperative radiological assessment is essential in breast-conserving surgery (BCS) to achieve clear margins while minimizing unnecessary healthy tissue excision. Discrepancies between radiological and pathological tumor size may contribute…
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Trends in surgical management and postoperative outcomes in adolescent and young adult breast cancer
Le 18 août 2026
Surgery. 2026 Jul 17;198:110467. doi: 10.1016/j.surg.2026.110467. Online ahead of print. ABSTRACT BACKGROUND: Adolescent and young adult women (ages 18-39) with breast cancer face distinct clinical and psychosocial challenges, yet national perioperative data specific to this group remain scarce. This study characterizes surgical patterns and short…
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Perioperative Changes in Peripheral Natural Killer Cell Activity and Their Association With Clinicopathological Features in Breast Cancer: A Single-Center Cohort Study
Le 18 août 2026
Cancer Med. 2026 Aug;15(8):e72190. doi: 10.1002/cam4.72190. ABSTRACT OBJECTIVE: This study aimed to evaluate perioperative changes in peripheral blood natural killer (NK) cell activity (ACT) in patients with breast cancer and to investigate the relationship between NK activity and clinicopathological characteristics. METHODS: A single-center…
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Postoperative cutaneous metastasis of breast cancer with phenotypic conversion to triple-negative subtype: A case report
Le 18 août 2026
Medicine (Baltimore). 2026 Aug 14;105(33):e50166. doi: 10.1097/MD.0000000000050166. ABSTRACT RATIONALE: Cutaneous breast cancer metastasis carries poor prognosis. Phenotypic conversion to a triple-negative subtype presents therapeutic challenges. Re-biopsy is crucial. PATIENT CONCERNS: A 53-year-old female underwent right modified radical…
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Impact of supportive bra use and surgical factors on seroma and pain following breast-conserving surgery: a single-center retrospective study
Le 18 août 2026
J Med Life. 2026 Jun;19(6):474-480. doi: 10.25122/jml-2026-0035. ABSTRACT Breast-conserving surgery (BCS) is widely accepted as a standard surgical approach in early-stage breast cancer. However, postoperative complications such as pain and seroma formation remain frequent and may negatively affect quality of life. The potential benefits of…
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Preoperative stereotactic body radiotherapy for early-stage luminal breast cancer: a systematic review and meta-analysis (PRELUMEN)
Le 18 août 2026
Radiother Oncol. 2026 Aug 15:111743. doi: 10.1016/j.radonc.2026.111743. Online ahead of print. ABSTRACT BACKGROUND AND PURPOSE: Preoperative stereotactic body radiotherapy (SBRT) has emerged as a precision locoregional strategy for early luminal breast cancer, yet no quantitative meta-analysis exists in this subtype. We aimed to estimate the…
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Oncoplastic Surgery Versus Total Breast Reconstruction in Locally Advanced and Multicentric Carcinomas. A Matched Comparative Cohort Study of Oncologic and Aesthetic Outcomes
Le 18 août 2026
J Surg Oncol. 2026 Aug 17. doi: 10.1002/jso.70372. Online ahead of print. ABSTRACT BACKGROUND/OBJECTIVE: This study aimed to compare extreme oncoplastic surgery (EO-partial breast reconstruction for tumors > 5 cm or multicentric lesions) with extreme reconstruction (ER-mastectomy with reconstruction for tumors >5 cm or multicentric lesions)…
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De-escalation of perioperative systemic therapy for early breast cancer
Le 18 août 2026
Jpn J Clin Oncol. 2026 Aug 18:hyag131. doi: 10.1093/jjco/hyag131. Online ahead of print. ABSTRACT Breast cancer is the most common malignancy among women worldwide, and the number of survivors continues to increase owing to earlier detection and advances in treatment. As long-term survivorship becomes increasingly important, minimizing treatment…
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Association between sentinel lymph node number and prognosis in cT1-2N0M0 early breast cancer patients with negative sentinel lymph nodes: a single-center retrospective cohort study
Le 18 août 2026
Ann Med. 2026 Dec;58(1):2717950. doi: 10.1080/07853890.2026.2717950. Epub 2026 Aug 17. ABSTRACT BACKGROUND: Sentinel lymph node biopsy (SLNB) is standard for cN0 breast cancer, but the prognostic impact of the number of excised sentinel lymph nodes (SLNs) remains unclear. OBJECTIVE: To evaluate the association between SLN excision number and long…
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Patient-reported longitudinal symptom patterns following breast-conserving surgery versus mastectomy with or without immediate breast reconstruction: A retrospective cohort study
Le 18 août 2026
Eur J Surg Oncol. 2026 Aug 5;52(10):112055. doi: 10.1016/j.ejso.2026.112055. Online ahead of print. ABSTRACT INTRODUCTION: Patients with early-stage breast cancer often choose between breast-conserving surgery (BCS), mastectomy alone (MA), and mastectomy with immediate breast reconstruction (IBR). These approaches differ in operative extent,…
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Real-Time Integration of Patient-Reported Outcomes in Breast Cancer Surgery: Feasibility of the BREAST-Q REACT
Le 13 juillet 2026
Plast Reconstr Surg. 2026 Jul 9. doi: 10.1097/PRS.0000000000013319. Online ahead of print. ABSTRACT Patient-reported outcomes (PROs) are central to evaluating quality of life after breast cancer surgery, yet they rarely inform real-time perioperative care. We developed the BREAST-Q Real-time Engagement and Communication Tool (REACT), a dashboard…
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Curative-intent stereotactic ablative body radiation, surgery, and systemic therapy in non-osseous oligometastatic breast cancer
Le 13 juillet 2026
Breast Cancer Res Treat. 2026 Jul 10;218(1):9. doi: 10.1007/s10549-026-08021-4. ABSTRACT BACKGROUND: Stereotactic ablative body radiation (SABR), combined with systemic therapy (ST), is increasingly used to improve survival in oligometastatic breast cancer (OMBC). METHODS: Patients with no brain or bone metastases on whole-body PET-CT received…
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Variation in Surgical Management of Stage IV Breast Cancer: Local/Institutional and Regional Geographic Considerations
Le 13 juillet 2026
Ann Surg Oncol. 2026 Jul 11. doi: 10.1245/s10434-026-20123-3. Online ahead of print. ABSTRACT INTRODUCTION: Prior studies have demonstrated variation in surgical management of breast cancer. As randomized controlled trials have increasingly shown a limited survival advantage with surgery in stage IV breast cancer, the present study aimed to assess…
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ASO Author Reflections: Rethinking Surgical Timing Benchmarks in Upfront Breast Cancer Surgery
Le 13 juillet 2026
Ann Surg Oncol. 2026 Jul 10. doi: 10.1245/s10434-026-20166-6. Online ahead of print. NO ABSTRACT PMID: 42429902 | DOI: 10.1245/s10434-026-20166-6
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Age-stratified difference in patient-reported health-related quality of life following breast cancer surgery
Le 13 juillet 2026
Breast Cancer Res Treat. 2026 Jul 10;218(1):11. doi: 10.1007/s10549-026-08028-x. ABSTRACT PURPOSE: To examine age-stratified changes in patient-reported health-related quality of life (HRQoL) following breast cancer surgery across surgical modalities. METHODS: In this prospective cohort study, 471 breast cancer patients undergoing breast…
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Low protein, high risk: hypoalbuminemia predicts adverse outcomes after mastectomy in 37,848 breast cancer patients
Le 16 juin 2026
Breast Cancer. 2026 Jun 12. doi: 10.1007/s12282-026-01875-y. Online ahead of print. ABSTRACT BACKGROUND: Hypoalbuminemia is a well-known marker of poor nutritional status and has been linked to adverse outcomes in various surgical specialties. However, its role in mastectomy remains underexplored. This study investigates the impact of…
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Patient reported outcomes associated with multiple approaches to Level 1 oncoplastic breast surgery
Le 16 juin 2026
Am J Surg. 2026 Jun 5;260:117094. doi: 10.1016/j.amjsurg.2026.117094. Online ahead of print. ABSTRACT BACKGROUND: Oncoplastic breast surgery (OBS) increases eligibility for breast conserving surgery, though its impact on satisfaction and quality of life remains unclear. Most patients undergo level 1 OBS with removal of <20% of breast volume…
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Contrast-enhanced mammography in the preoperative assessment of primary operable breast cancer: Results from a prospective, two-centre study
Le 16 juin 2026
Eur J Radiol Open. 2026 Jun 6;16:100768. doi: 10.1016/j.ejro.2026.100768. eCollection 2026 Jun. ABSTRACT PURPOSE: To evaluate the performance of contrast-enhanced mammography (CEM) in the preoperative assessment of patients with primary operable breast cancer and in the detection of multifocal or multicentric carcinoma (MFMCC). Secondary aims were…
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Deep learning-based reconstruction for multi-shot breast DWI: Quantitative and qualitative improvements
Le 18 août 2026
Eur J Radiol. 2026 Aug 10;204:113159. doi: 10.1016/j.ejrad.2026.113159. Online ahead of print. ABSTRACT PURPOSE: To evaluate the effectiveness of deep learning (DL)-based reconstruction for improving image quality and reducing scan time in multi-shot diffusion-weighted imaging (DWI) of the breast, compared with standard readout-segmented echo…
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Breast Cancer Patient Awareness and Reasons for Foregoing Breast Reconstruction. Early Findings From the ROSE (Breast Cancer and Reconstruction Outcome Survey) Study
Le 18 août 2026
Ann Plast Surg. 2026 Sep 1;97(3):276-283. doi: 10.1097/SAP.0000000000004824. Epub 2026 Jul 22. ABSTRACT BACKGROUND: Breast reconstruction (BR) can improve the quality of life following breast cancer surgery, yet some patients forgo the option. Research has focused mainly on system-level barriers, while patient-reported reasons for declining…
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Peri-operative CDK4/6 inhibitors in DIEP flap breast reconstruction: Early safety data and proposed management strategy
Le 18 août 2026
J Plast Reconstr Aesthet Surg. 2026 Aug 6;121:139-142. doi: 10.1016/j.bjps.2026.08.002. Online ahead of print. ABSTRACT The introduction of cyclin-dependent kinase 4/6 (CDK4/6) inhibitors has significantly altered the treatment paradigm for hormone receptor-positive, HER2-negative breast cancer. Increasingly, surgeons encounter patients receiving…
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Breast reconstruction and symmetry restoration using a TDAP flap in a male patient following breast cancer treatment
Le 18 août 2026
BMJ Case Rep. 2026 Aug 17;19(8):e268385. doi: 10.1136/bcr-2025-268385. ABSTRACT Male breast cancer is rare and often overlooked in reconstructive planning. This case presents a male patient seeking post-mastectomy breast reconstruction for symmetry restoration. A thoracodorsal artery perforator (TDAP) flap was used, offering volume restoration…
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Grisotti versus Wise-Pattern Oncoplastic Reconstruction in Central Breast Cancer: A Randomized Controlled Study
Le 13 juillet 2026
Eur J Breast Health. 2026 Jun 17;22(3):340-349. doi: 10.4274/ejbh.galenos.2026.2026-3-1. ABSTRACT OBJECTIVE: Central breast tumors requiring excision of the nipple-areola complex present a reconstructive challenge in breast-conserving surgery. Volume-displacement oncoplastic techniques, including the Grisotti flap and reduction-based Wise-pattern…
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Patient experiences with same-day discharge after prepectoral implant-based breast reconstruction
Le 13 juillet 2026
J Plast Reconstr Aesthet Surg. 2026 Jul;118:290-297. doi: 10.1016/j.bjps.2026.05.026. Epub 2026 May 13. ABSTRACT Advancements in breast reconstruction, including prepectoral implant-based breast reconstruction, are increasingly being incorporated into same-day discharge protocols within enhanced recovery after surgery pathways. However, data…
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Comparative study of prosthesis implantation, latissimus dorsi flap, and combined reconstruction immediately after breast cancer surgery: A retrospective, single-center, observational cohort study
Le 13 juillet 2026
Medicine (Baltimore). 2026 Jun 26;105(26):e49090. doi: 10.1097/MD.0000000000049090. ABSTRACT This study aimed to explore the effects of 3 immediate reconstruction methods - prosthesis implantation, latissimus dorsi flap (LDF), or their combination - on postoperative outcomes following breast cancer (BC) surgery. A retrospective, single-center,…
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Impact of breast reconstruction on sexual function and body image in breast cancer survivors: A systematic review
Le 13 juillet 2026
JPRAS Open. 2026 Jun 3;51:22-35. doi: 10.1016/j.jpra.2026.05.056. eCollection 2026 Sep. ABSTRACT BACKGROUND: Breast cancer remains the most prevalent malignancy among women globally. As survival rates improve, the clinical focus has shifted toward the quality of life (QoL) and psychosexual survivorship. This systematic review evaluates the impact…
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Knowledge, attitudes and practices regarding immediate breast reconstruction after mastectomy: a cross-sectional study in Jordan
Le 13 juillet 2026
BMJ Open. 2026 Jul 10;16(7):e108900. doi: 10.1136/bmjopen-2025-108900. ABSTRACT OBJECTIVES: This study aimed to evaluate the knowledge, attitudes and practices (KAP) of Jordanian women regarding post-mastectomy breast reconstruction (PMBR), and to recognise key sociodemographic factors influencing these outcomes. DESIGN: A descriptive cross…
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Autologous fat transfer for complete breast reconstruction in irradiated breast cancer patients: A systematic review
Le 16 juin 2026
J Plast Reconstr Aesthet Surg. 2026 May 27;118:346-360. doi: 10.1016/j.bjps.2026.05.048. Online ahead of print. ABSTRACT BACKGROUND: Autologous fat transfer (AFT) has emerged as a minimally invasive alternative for complete breast reconstruction. Its use after radiotherapy (RT) remains controversial owing to concerns regarding graft retention,…
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Role of chest wall perforator flaps in reconstruction of upper inner breast defects
Le 16 juin 2026
BMC Surg. 2026 Jun 6;26(1):375. doi: 10.1186/s12893-026-03874-4. ABSTRACT BACKGROUND: Breast-conserving surgery (BCS) is the standard treatment for early-stage breast cancer; however, defects in the upper inner quadrant (UIQ) remain a significant reconstructive challenge due to paucity of local tissue and heightened cosmetic sensitivity of this…
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Essentials for optimizing outcomes in oncoplastic breast reconstruction
Le 16 juin 2026
Gland Surg. 2026 May 31;15(5):145. doi: 10.21037/gs-2025-aw-506. Epub 2026 May 27. ABSTRACT Breast conservation therapy in the setting of breast cancer has been shown to be a safe method for oncologic treatment in certain patients. However, lumpectomy and radiation have historically been associated with contour deformity, asymmetry, and suboptimal…
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Immunotherapy and Breast Reconstruction: Opportunities, Challenges, and Future Directions
Le 14 mai 2026
Cancer Med. 2026 May;15(5):e71794. doi: 10.1002/cam4.71794. ABSTRACT Immunotherapy is transforming breast cancer management, but it also presents new challenges for surgical and reconstructive practice. This review summarizes current evidence on immune checkpoint inhibitors, perioperative safety, and immune-related adverse events, highlighting…
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Experiences and challenges in implant based breast reconstruction decision making among young breast cancer patients: A qualitative study
Le 14 mai 2026
Acta Psychol (Amst). 2026 May 6;267:107002. doi: 10.1016/j.actpsy.2026.107002. Online ahead of print. ABSTRACT OBJECTIVES: To explore the in-depth experiences, psychological conflicts, and coping strategies of young breast cancer patients regarding the Implant-Based Breast Reconstruction (IBBR) decision-making process. METHODS: This study used a…