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 at the last chapter. Each chapter starts by listing the key facts at the start. 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 2 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 and several other post graduate courses that could be supported 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.
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.
Christos Markopoulos is Professor of Surgery at the Faculty of Medicine of the National and Kapodistrian University of Athens in Greece and Head of the Breast Unit. He is the President of the Division of Breast Surgery of the UEMS Section of Surgery and the founder and Chair of the Hellenic Society of Breast Surgeons (2000-2015). He is an active member of multiple Breast International Societies, including British Association of Breast Surgery (ABS) and European Society of Surgical Oncology (ESSO) and has been elected member of the Executive Committee of the European Society of Breast Cancer Specialists (EUSOMA).
Professor Markopoulos has published over 300 scientific papers in peer reviewed national and international medical journals having over 9,000 citations and has also authored several books on the management of breast disease.
Andreas Karakatsanis is Associate Professor of Breast Surgery at the Faculty of Medicine of Uppsala University in Uppsala, Sweden and a Senior Consultant Oncoplastic Surgeon in the Breast Unit of the Uppsala University Hospital (Akademiska). He is member of the Executive Committee of the Division of Breast Surgery of the UEMS Section of Surgery and Board Member of the Swedish Society for Breast Surgery. He is an active member of multiple International Societies, including the European Society of Surgical Oncology (ESSO), the European Society of Breast Cancer Specialists (EUSOMA) and a member of the Scientific Committee of the EUBREAST Research Group and the BRESO initiative.
Dr Karakatsanis has published extensively in peer reviewed in international medical journals having over 1,000 citations and has also authored several books on the management of benign and malignant breast disease.
