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  1. Article: Concerning de Oliveira-Junior et al. "Oncoplastic Surgery in Breast-Conserving Treatment: Patient Profile and Impact on Quality of Life." Breast Care. 2021;16(3):243-253.

    Hernanz, Fernando

    Breast care (Basel, Switzerland)

    2021  Volume 16, Issue 5, Page(s) 550–551

    Language English
    Publishing date 2021-09-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2202236-3
    ISSN 1661-3805 ; 1661-3791
    ISSN (online) 1661-3805
    ISSN 1661-3791
    DOI 10.1159/000518723
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    Zs.A 6620: Show issues Location:
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  2. Article ; Online: Comments on patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer.

    Hernanz, Fernando

    Breast cancer research and treatment

    2020  Volume 185, Issue 2, Page(s) 529–530

    MeSH term(s) Breast ; Breast Neoplasms/surgery ; Female ; Humans ; Mastectomy ; Mastectomy, Segmental ; Patient Reported Outcome Measures
    Language English
    Publishing date 2020-09-24
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-020-05945-3
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  3. Article ; Online: Long-term outcomes of bilateral breast reduction in women with obesity and symptomatic macromastia. A cohort study.

    Hernanz, F / Martínez, P / Jimeno, J / Paz, L / Muñoz, P

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 76, Page(s) 133–135

    MeSH term(s) Female ; Humans ; Cohort Studies ; Breast/surgery ; Mammaplasty ; Hypertrophy/surgery ; Obesity/complications
    Language English
    Publishing date 2022-11-23
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.050
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  4. Article ; Online: Primary de novo malignant peripheral nerve sheath tumor of the breast mimicking mastitis. Report of a case and review of the literature.

    Val-Bernal, José Fernando / Hermana, Sandra / Hernanz, Fernando / Moreno, Germán

    Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie

    2023  Volume 64, Issue 1, Page(s) 73–82

    Abstract: Malignant peripheral nerve sheath tumor (MPNST) is a rare tumor representing <0.1% of malignant breast tumors. Here, we report a case of sporadic MPNST of the breast in a 45-year-old woman with a fast-evolving painful mass in the right breast associated ... ...

    Abstract Malignant peripheral nerve sheath tumor (MPNST) is a rare tumor representing <0.1% of malignant breast tumors. Here, we report a case of sporadic MPNST of the breast in a 45-year-old woman with a fast-evolving painful mass in the right breast associated with edema, redness, and increased local temperature, simulating mastitis. This presentation has not been reported. A review of the literature since 1992 has revealed 15 MPNST cases, including the present one with sufficient data for analysis. All the cases were women. The ages ranged from 16-60 years (mean 40.5 years). Duration of symptoms varied from four days to 15 years (mean 2.7 years). Tumor size ranged from 2.5-30 cm (mean 10.9 cm). 64.3% of tumors were well-circumscribed. Tumors were graded as grade 1 (7.7%), grade 2 (38.5%), and grade 3 (53.8%). Three (20%) cases showed histopathological peculiarities. Simple mastectomy was performed in four (26.7%) cases, radical mastectomy in six (40%) cases, and simple excision in five (33.3%) cases. There were no metastases in the six cases where axillary dissection was performed. Seven (53.8%) patients received adjuvant therapy, including chemotherapy and∕or radiotherapy. Local recurrence was observed in two (16.7%) patients. Distant metastasis was detected in one patient (7.7%) affecting the lung 11 months after radical mastectomy. The follow-up was available for 10 patients (mean 2.2 years, median 1 year). One patient (10%) died of the disease. At the last follow-up, 80% of patients were still alive. The main differential diagnosis includes nonpleomorphic spindle cell tumors.
    MeSH term(s) Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Male ; Breast Neoplasms/pathology ; Neurofibrosarcoma/surgery ; Mastectomy ; Follow-Up Studies ; Mastitis/surgery ; Neoplasm Recurrence, Local/pathology
    Language English
    Publishing date 2023-05-02
    Publishing country Romania
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 1062519-7
    ISSN 2066-8279 ; 1220-0522 ; 0035-4007
    ISSN (online) 2066-8279
    ISSN 1220-0522 ; 0035-4007
    DOI 10.47162/RJME.64.1.09
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    Zs.A 1105: Show issues Location:
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  5. Article ; Online: Spanish version of the BREAST-Q® 2.0 questionnaire-breast reduction module-: Linguistic, cross-cultural adaptation and validation.

    Martínez, Paula / Jimeno, Jaime / Hernanz, Fernando / Muñoz, Pedro

    Cirugia espanola

    2022  Volume 101, Issue 3, Page(s) 232–234

    MeSH term(s) Humans ; Cross-Cultural Comparison ; Linguistics ; Surveys and Questionnaires ; Mammaplasty
    Language English
    Publishing date 2022-10-18
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.10.016
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  6. Article ; Online: Treatment of symptomatic macromastia in a breast unit. Outcomes analysis of breast reduction using BREAST-Q.

    Hernanz, Fernando / Martínez, Paula / Paz, Lucía / Jimeno, Jaime / Hernan Del Piero, Guillermo / Muñoz, Pedro

    Cirugia espanola

    2022  Volume 101, Issue 4, Page(s) 252–257

    Abstract: Introduction: The BREAST-Q (breast reduction module) is a specific and validated questionnaire to evaluate breast reduction in the treatment of symptomatic macromastia, offering information on their quality of life and degree of satisfaction.: Methods! ...

    Abstract Introduction: The BREAST-Q (breast reduction module) is a specific and validated questionnaire to evaluate breast reduction in the treatment of symptomatic macromastia, offering information on their quality of life and degree of satisfaction.
    Methods: Prospective study of a cohort of 34 patients treated by bilateral breast reduction in a breast unit in 2017-2020 surveyed with the Spanish version of BREAST-Q version 2. The statistical study to assess the effect of reduction, changes from the pre to postoperative scores of the domains were performed using the Wilcoxon signed rank test. Statistical significance was determined with p values ​​<0.05.
    Results: The mean time elapsed from surgery to the postoperative survey was 16 (SD 9) months. Post-surgical complications or sequelae occurred in 14 (42%) patients with 23 events. The preoperative scores, median and interquartile range, in satisfaction with the breasts (28, 26), psychological (33, 14), physical (42, 19) and sexual (34, 14) well-being improved in the postoperative survey to (82, 15), (81.29), (82, 30) and (90, 38), respectively. These changes were statistically significant, p < 0.001.
    Conclusions: The first application of the BREAST-Q in its version in Spanish for Spanish women in patients with symptomatic macromastia treated surgically in a breast unit shows that breast reduction improves the quality of life of patients and that they are very satisfied with the outcome of the surgery and its surgeon, although the information received should clearly be improved.
    MeSH term(s) Female ; Humans ; Quality of Life ; Prospective Studies ; Patient Satisfaction ; Mammaplasty
    Language English
    Publishing date 2022-09-11
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.09.015
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  7. Article ; Online: Comments on the Clinical Validation of the BREAST-Q Breast-Conserving Therapy Module.

    Hernanz, Fernando / Jimeno, Jaime / Paz, Lucia / Muñoz, Pedro

    Annals of surgical oncology

    2019  Volume 26, Issue Suppl 3, Page(s) 855–856

    MeSH term(s) Mammaplasty ; Mastectomy, Segmental
    Language English
    Publishing date 2019-08-22
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-019-07754-5
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    Zs.A 4042: Show issues Location:
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  8. Article ; Online: Reduction mammaplasty technique. The core and the master key of oncoplastic breast surgery.

    Hernanz, Fernando / Jimeno, Jaime Y / Paz, Lucía

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2018  Volume 72, Issue 2, Page(s) 335–354

    MeSH term(s) Breast Neoplasms/surgery ; Female ; Humans ; Mammaplasty/methods
    Language English
    Publishing date 2018-11-13
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2018.10.042
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  9. Article ; Online: Impact of reduction mammoplasty on the quality of life of obese patients suffering from symptomatic macromastia: A descriptive cohort study.

    Hernanz, F / Fidalgo, M / Muñoz, P / Noriega, M González / Gómez-Fleitas, M

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2016  Volume 69, Issue 8, Page(s) e168–73

    Abstract: Background: Although reduction mammoplasty (RM) is an effective and efficient treatment for symptomatic macromastia, overweight and obese patients who request this treatment are frequently rejected because of selection criteria based on the body mass ... ...

    Abstract Background: Although reduction mammoplasty (RM) is an effective and efficient treatment for symptomatic macromastia, overweight and obese patients who request this treatment are frequently rejected because of selection criteria based on the body mass index. Scientific evidence is inconclusive regarding the increased postoperative complications in obese patients undergoing RM, and there is a lack of adequately designed studies examining the impact of RM on the quality of life of this group of patients.
    Patients and methods: A descriptive cohort study was performed on 37 consecutive obese patients (body mass index > 30 kg/m(2)) undergoing bilateral RM for symptomatic macromastia. Short Form SF-36 quality-of-life questionnaires were completed at interviews a week before surgery and 6 and 18 months after surgery. In addition, 37 women of matching ages, who were companions of patients hospitalized at our short-stay surgery unit, were used as a control group for comparison. Significant differences between repeated measurements on a single sample were assessed using the Wilcoxon signed-rank test. To evaluate these changes, we used effect size by computing Hedges' g corrected.
    Results: The preoperative SF-36 physical component score was significantly lower than the control group's score (40 vs. 53, p < 0.001). There was no significant difference in the mental component score (45 vs. 49, p = 0.210). Postoperative SF-36 scores were increased with a normalizing effect, as 18 months after surgery only the body pain domain scored lower than the control group scores.
    Conclusions: According to our results, obese women with symptomatic macromastia undergoing RM exhibited increased quality of life, and this improvement was maintained over time.
    Therapy: Level III Evidence.
    MeSH term(s) Adult ; Body Mass Index ; Breast/abnormalities ; Breast/surgery ; Cohort Studies ; Female ; Humans ; Hypertrophy/etiology ; Hypertrophy/psychology ; Hypertrophy/surgery ; Mammaplasty ; Middle Aged ; Obesity/complications ; Obesity/pathology ; Obesity/psychology ; Quality of Life ; Treatment Outcome
    Language English
    Publishing date 2016-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2016.05.012
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  10. Article ; Online: The assessment of lymph nodes missed in mesenteric tissue after standard dissection of colorectal cancer specimens.

    Hernanz, F / García-Somacarrera, E / Fernández, F

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2010  Volume 12, Issue 7 Online, Page(s) e57–60

    Abstract: Objective: We studied fresh mesenteric and mesorectal tissue after standard dissection of colorectal cancer specimens using a clearing method to evaluate lymph nodes (LN) that could have been missed.: Method: After traditional dissection, 50 ... ...

    Abstract Objective: We studied fresh mesenteric and mesorectal tissue after standard dissection of colorectal cancer specimens using a clearing method to evaluate lymph nodes (LN) that could have been missed.
    Method: After traditional dissection, 50 consecutive unfixed residual mesenteric and mesorectal tissues were entirely managed by a new clearing solution, which incorporates hydrochloric acid obtaining a really good degree of fat dissolution, facilitating the identification of missed LNs.
    Results: By fat clearance, 498 (mean per specimen, 10) additional LNs were found, most of them (83%) varying in size from 1 to 5 mm. and 22 (4.41%) LNs revealed tumour metastases. In two rectal carcinoma specimens that had been treated by neoadjuvant chemoradiotherapy, no LNs were found by traditional dissection; after checking by the clearing method, additional LNs were harvested in both. Three patients were reclassified and upstaged.
    Conclusion: According to our findings, after standard dissection in the remaining mesentery of colorectal specimen there are missed positive LNs, which should be evaluated to avoid pathological understaging.
    MeSH term(s) Colectomy/methods ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/secondary ; Colorectal Neoplasms/surgery ; Humans ; Lymph Node Excision/methods ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Lymphatic Metastasis ; Mesentery ; Neoplasm Staging
    Language English
    Publishing date 2010-07
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/j.1463-1318.2009.01987.x
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    Zs.A 5799: Show issues Location:
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