Navigation Links
Surgeon studies with world-renowned oncoplastic pioneer

Jennifer Gass, MD, chief of surgery at Women & Infants Hospital of Rhode Island and a breast surgeon with the Breast Health Center in the hospital's Program in Women's Oncology, recently completed a one-month sabbatical in Paris with the world-renowned breast surgeon Krishna B. Clough, MD, medical director of the Paris Breast Center.

The sabbatical is key to making the novel surgical technique available to breast cancer patients through Women & Infants, which is the first facility in New England using this new approach to breast and cosmetic preservation.

Dr. Gass traveled to Paris to gain hands-on experience with Dr. Clough, who has been a pioneer in the field of oncoplastic surgery, a surgical approach that combines the best techniques from plastic surgery with oncologic surgery to remove breast cancer. The oncoplastic approach helps the breast surgeon reshape the remaining breast, either by redistributing the volume lost when the cancer is removed through the remaining breast, or by using other tissue to refill the space. The end result is a cancer-free breast that looks natural.

Dr. Clough, who trained in the United States and France, was chief of the Department of General and Breast Surgery at the Curie Institute when he resigned in 2005 to found the Paris Breast Center, the first facility in France dedicated to breast surgery and breast cancer.

Continuing his research, Dr. Clough and a small group of European surgeons created the concept of oncoplastic surgery. At the Paris Breast Center, oncoplastic surgery was fully integrated as a multidisciplinary treatment and is now considered one of the main recent advances in breast cancer surgery.

"Many women with breast cancer know they need to have surgery to remove the disease but they are afraid of looking disfigured after surgery," explained Dr. Gass, who is also who is also director of the Breast Fellowship at Women & Infants and an assistant professor of surgery at The Warren Alpert Medical School of Brown University. "Oncoplastic surgery includes tailoring the excision to minimize distortion, ultimately yielding a breast of optimal size and shape."

Furthermore, the oncoplastic approach considers pre-existing breast diagnoses, as the surgeons plan to remove the cancer. A woman, therefore, may have ptosis (sagging breasts), macromastia (very large breasts) or asymmetry (breasts that are uneven in size) before her breast cancer diagnosis. The underlying condition, along with the cancer diagnosis, are addressed in surgery.

"The patient, at completion of therapy, has not only had treatment for her cancer but the underlying condition as well," Dr. Gass noted. "She can be more confident in her self-image."

The oncoplastic approach to breast surgery has greatly advanced the field from the traditional mastectomy to nipple sparing mastectomy. While mastectomy has been paired with immediate reconstruction in the past, women had to undergo additional surgery to achieve the final result. Now, with the preservation of the nipple areola complex, a truly one-staged immediate reconstruction is a reality. Oncoplastic surgeons use breast reduction techniques to contour the breast to have a smaller but rounder, more uplifted appearance. The unaffected breast is often exposed during the procedure to ensure the results are visually symmetrical. The unaffected breast may also undergo a procedure to create symmetry in some cases.

"Overall, the goal of oncoplastic surgery is to improve the patient's journey through survivorship," Gass said. "We want women to look at themselves with the pride they deserve, rather than looking at a scar as if it were a badge of courage."

In addition to bringing these new procedures to Women & Infants, Dr. Gass will also be teaching them to the breast cancer fellows who study at the hospital, the only facility in New England to offer such a prestigious educational opportunity.

Contact: Susan McDonald
Women & Infants Hospital

Related medicine news :

1. Malpractice suits cause psychological distress and career burnout among US surgeons
2. University Hospitals Case Medical Center neurosurgeons champion brain bypass in select patients
3. UK HealthCare surgeons are first to perform novel procedures prior to transplant
4. Heart surgeons-in-training benefit from hands-on homework
5. New tool to help surgeons remove more cancer tissue during brain surgery
6. Surgeon Experience Matters in Neck Artery Procedure: Study
7. Check Plastic Surgeons Credentials or Risk Tragic Results, Experts Warn
8. Most Patients Want Experienced Surgeons, Not Trainees
9. Allowing part-time surgeons may help address workforce shortage
10. Surgeons Need Help Learning How to Deliver Bad News
11. Rude Surgeons Hurt Patients, Increase Costs
Post Your Comments:
(Date:11/25/2015)... ... ... Many people know of the common symptoms of low thyroid hormone (also ... many people who find their cholesterol levels and weight are creeping up are more ... they don’t have any of the other symptoms. , Thyroid hormone plays a major ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... is offering lower prices in an early celebration of the early holiday shopping ... price of $29.95 each (normally $33.95 ea). Black Friday promotional pricing is in ...
(Date:11/24/2015)... ... ... New patients who wish to seek treatment for missing teeth can now ... Mississauga, ON practice. Dr. Williams has been providing dental service for over 34 years, ... teeth can lead to a variety of complications if they are not replaced quickly, ...
(Date:11/24/2015)... ... November 24, 2015 , ... In an article ... variables that determine which patients are or are not eligible for bariatric surgery. The ... BMI over 40, are more than 100 pounds overweight, or have a BMI of ...
(Date:11/24/2015)... ... , ... Preparing for the LDT Regulation:, CLIA Won’t Satisfy the FDA, ... FDA has long asserted that design and manufacture of Laboratory Developed Tests (LDTs) falls ... meet the device regulations. , Come up short in an inspection and the FDA ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , November 25, 2015 /PRNewswire/ ... announced the addition of the  "Global ...  report to their offering.  ... the addition of the  "Global Drug ...  report to their offering.  --> ...
(Date:11/24/2015)...  Array BioPharma Inc. (Nasdaq: ARRY ) ... Ron Squarer , will present at the Piper ... public is welcome to participate in the conference ... Jaffray Annual Healthcare ConferencePresenter:  , Ron Squarer, Chief ... Eastern Time Webcast: , ...
(Date:11/24/2015)... , Nov. 24, 2015  DILON Diagnostics and ... signed an agreement for DILON to distribute GE,s Discovery ... the globe. The signing of this distribution agreement will provide ... Molecular Breast Imaging system and is considered an initial ... better healthcare solutions for clinicians and their patients. ...
Breaking Medicine Technology: