Latest Updates

Surgical Management of the Breast

Anees B Chagpar, MD, MSc, MPH, MA, MBA
    • Diagnosis of breast cancer: from open biopsy of palpable lesions to minimally invasive image-guided core-needle biopsy
    • Extirpation of primary breast cancer: from mastectomy to breast conservation and oncoplastics
    • Lymph node evaluation: from axillary dissection to sentinel node biopsy
    • Integration with multidisciplinary management of breast cancer

Chemotherapy for Gynecologic Malignancies

Lauren E Dockery, MD, MS, Laura L Holman, MD, MS
    • Targeted therapies such as antiangiogenesis agents improve outcomes in ovarian and metastatic cervical cancer. 
    • Poly(ADP)ribose polymerase (PARP) inhibitors improve outcomes as treatment and maintenance therapies in recurrent epithelial ovarian cancer. 
    • Intraperitoneal administration of chemotherapy can be considered for a select group of patients with ovarian cancer in the front-line setting. 

Nondiabetic Endocrine Emergencies 2: ­Hypoparathyroidism, Hyperparathyroidism, Myxedema Coma, And Thyroid Storm

Jason J Lewis, MD, Richard E Wolfe, MD
    • Surgical management via parathyroidectomy is the only definitive therapy for hyperparathyroidism and more cost-effective than long-term observation or medical management.
    • Treatment with IV T4 is the mainstay therapy for myxedema coma, and addition of T3 may be beneficial.
    • Treatment of thyroid storm involves controlling hyperpyrexia. Ice packs, or cooling blankets, should be used with high fever. Aspirin and other NSAIDs should be avoided because they displace T4 from thyroid-binding globulin, resulting in increased free T4. Acetaminophen does not affect free thyroid hormone.

Clinical Management of Anxiety Disorders

Pooja N Dave, PhD, Shona Vas, PhD
    • Identification of major anxiety disorders observed in adults according to the DSM-5
    • Description of physiologic, cognitive, and behavioral components of anxiety and their relevance to diagnosis and treatment
    • Review of cognitive-behavioral treatments and their efficacy for anxiety disorders in adults
    • Review of pharmacologic treatments and their efficacy for anxiety disorders in adults

Infrainguinal Arterial Procedures

Amy B. Reed, MD, FACS
    • varying imaging modalities for planning
    • variety of options for lower extremity bypass
    • incorporation of endovascular techniques with bypass

Infrainguinal Arterial Procedures

Amy B. Reed, MD, FACS
    • varying imaging modalities for planning
    • variety of options for lower extremity bypass
    • incorporation of endovascular techniques with bypass

Vascular Anomalies

Javier A Couto, MD, Arin K Greene, MD, MMSc
    • Sirolimus is an effective systemic medication for lymphatic malformations
    • Infantile hemangiomas do not improve significantly after 3 years of age; thus, intervention for a residual deformity should not be prolonged after this time
    • The somatic mutation for most vascular anomalies has recently been discovered, providing the potential for the development of pharmacotherapy for these lesions

Surgical Management of the Breast

Anees B Chagpar, MD, MSc, MPH, MA, MBA
    • Diagnosis of breast cancer: from open biopsy of palpable lesions to minimally invasive image-guided core-needle biopsy
    • Extirpation of primary breast cancer: from mastectomy to breast conservation and oncoplastics
    • Lymph node evaluation: from axillary dissection to sentinel node biopsy
    • Integration with multidisciplinary management of breast cancer
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