Stanford Medcast Episode 90: Hot Topics Mini-Series: Evolving Practices in Breast Cancer Surgery

In this episode, we speak with Dr. Jean Bao, Clinical Assistant Professor of Surgery at Stanford University School of Medicine. We will explore prevalent misconceptions about breast cancer encountered in clinical practice, as well as the decision-making processes involved in managing benign masses and high-risk patients. Additionally, we will discuss innovative diagnostic technologies for at-risk individuals, the pathology of dense breast tissue, and new imaging techniques. We will also examine when to opt for a lumpectomy versus a double mastectomy, prophylactic mastectomy, skin and nipple-sparing mastectomies, and oncoplastic surgeries, focusing on their impact on patient outcomes and quality of life. Lastly, we will review nodal staging strategies for breast cancer and delve into Dr. Bao's research on fertility issues faced by young women with breast cancer.

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1. Assess innovative diagnostic technologies in the detection of breast cancer.
2. Review when specialized care is indicated for risk assessment and counseling.

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

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 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Office.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
1.Mayo Foundation for Medical Education and Research. (2024, April 10). Breast cancer surgery. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/breast-cancer-surgery/about/pac-20385255 
2.Trayes, K. P., & Cokenakes, S. E. H. (2021, August 15). Breast Cancer Treatment. American Family Physician, 104(2), 171–178. https://www.aafp.org/pubs/afp/issues/2021/0800/p171.html
3.Stanford Health Care. (2017, September 12). Types of Breast Imaging and Biopsy. Stanford Medicine. https://stanfordhealthcare.org/medical-tests/b/breast-imaging/types.html 

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     Email: [email protected]

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Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity. 

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Ruth Adewuya, MD
Managing Director
Stanford University

Course Director

Nothing to disclose

Jean Bao, MD
Stanford Health Care (SHC)

Faculty

Nothing to disclose

Mary-Tyler Mosley
Medcast Intern

Planner

Nothing to disclose