Full Description
This book is a revision companion for the UEMS breast exam. The contents extract and distil the key messages and facts of the exam-linked textbook, published in 2017, giving self-test opportunities in the last chapter. Each chapter starts by listing the key facts. The chapters have been edited by the exam board in collaboration with most of the authors of the original chapters of key relevance.
The book is specifically designed to complement the UEMS breast surgery exam which is held once a year. In addition there are two feeder courses for the exam, the EBSQ exam Preparatory Course by the Division of Breast Surgery and the Advanced Course on Breast Cancer by the ESSO, each of which run yearly. There are several other postgraduate courses that could support by the book. The book is also of interest to candidates sitting the FRCS exam with a special interest in breast surgery.
The last Chapter describes the format of the exams, the scoring system and presents examples of both, the written (MCQ) and the oral examination. The MCQ part contains a questions section with 25 MCQs, including the correct answers at the end. A Clinical Case scenario is also presented with indicative questions similar to those discussed during the oral exam and a list of Academic papers included for discussion in recent oral exams, along with indicative questions is also included.
Contents
Foreword by the UEMS: Vassilios Papalois: President.- Foreword by C Markopoulos, President of Division of Breast Surgery.- Foreword by ESSO: Tibor Kovacs, President.- Foreword by EUSOMA: Isobel Rubio, President.- Section 1. LW and CM to lead.- Anatomy and physiology of the breast and axilla..- Epidemiology of breast cancer and risk factors.- The genetic basis of breast cancer, risk assessment and management.- Breast screening in normal and high risk populations.- Breast pathology (including multifocal, multicentric, biological subtypes, gene arrays, margins).- Breast imaging.- Diagnosis and staging of breast cancer.- DCIS.- Section 2. Surgery to the breast and axilla. IR and LW to lead.- Mastectomy (including SSM, NSM).- Breast conservation.- Axillary surgery and management, including SLNB, ANC, tSLNB, axillary RT, Z11, adverse effects such as lymphoedema..- Surgery for stage 3, stage 4 and locally recurrent disease (including surgical principles after NACT).- Section 3. Oncoplastic and reconstructive surgery. LW and TK.- Therapeutic mammoplasty: oncology, techniques, outcomes..- Breast reconstruction (immediate and delayed, immediate delayed, techniques, oncology, RT impacts, implants, flaps etc).- Lipomodelling.- Breast implants (to include types, practical aspects of use, adverse events including BIALCL, leakage, capsule formation etc.- Section 4. Adjuvant and neoadjuvant therapies. LW and CM.- Endocrine therapy.- Chemotherapy.- Biological therapy.- Bisphosphonates.- Radiotherapy (IMRT, CT, Protons, IORT, brachytherapy).- Section 5. Management of metastatic breast cancer, LW and CM.- Systemic therapy.- Surgery for metastatic disease (oligometastatic, primary cancer, bone metastases).- Radiotherapy for metastatic disease: bone, soft tissue, brain (SABR, gamma knife).- Section 6. Breast cancer in special groups, LW and CM.- Elderly.- Young patients, including fertility preservation, BRCA carriers.- Pregnancy.- Male BC.- Occult primary.- Section 7. The academic viva. CM .- Statistics for clinical trials.- How to critique a paper.- Key trials.
