PT, CMT, CLT-LANA
Breast Cancer Care Updates
Saturday, May 4, 3:45pm – 4:30pm
This presentation will introduce the importance of biologic factors vs. anatomic extent-of-disease in defining prognosis and treatments for patients with breast cancer. Jodi will discuss anterior chest wall tissue limitations that are frequently found during an exam post-mastectomy, with and without radiation therapy. Trends in partial breast radiation therapy and nipple-sparing breast reconstruction will be discussed and exciting possibilities for the future management of the axilla in BrCA will also be presented.
- List the updated components for breast cancer staging per the AJCC Cancer Staging Manual, 8th ed., 2017.
- Identify two upper-quarter movement restrictions of post-mastectomy patients, with or without post-mastectomy radiation therapy.
- Describe three soft-tissue/myofascial techniques that address upper-quarter joint hypomobility in post-mastectomy patients.
- List two thoracic spine mobilization techniques that are safe for patients with breast reconstruction.
Giuliano AE, Ballman KV, McCall L, et al. Effect of Axillary Dissection vs No Axillary Dissection on 10 year Overall Survival Among Women with Invasive Breast Cancer and Sentinel Node Metastasis: The ACOSOG Z0011 (Alliance) Randomized Clinical Trial. JAMA. 2017; 318(10): 918-926.
Charalampoudis P, Markopoulos C, Kovacs T. Controversies and recommendations regarding sentinel lymph node biopsy in primary breast cancer: A comprehensive review of current data. European Journal of Surgical Oncology, 2018, 44 (1): 5–14.
Smith BD, Bellon JR, Blitzblau, R, et al. Radiation therapy for the whole breast: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based guideline. Practical Radiation Oncology (2018) 8, 145-152.
The Fast Trialists group. First results of the randomized UK FAST Trial of radiotherapy hypofractionation for treatment of early breast cancer (CRUKE/04/015). Radiotherapy and Oncology 100(2011)93-100.
Brunt AM, Haviland J, Sydenham M. LBA2 FAST Phase III RCT of Radiotherapy Hypofractionation for Treatment of Early Breast Cancer: 10-Year Results (CRUKE/ 04/015). 2018 ASTRO Annual Meeting Late-breaking Abstract Selection; International Journal of Radiation Oncology.
Koulis TA, Phan T, Olivotto IA. Hypofractionated whole breast radiotherapy: current perspectives. Breast Cancer (Dove Med Press). 2015; 7: 363–370.
About the Presenter
Jodi was certified as an MLD/CDT Therapist by Klose Norton Training & Consulting in 1998. She received her CLT-LANA Certification in October, 2001. In 2000, Jodi joined Cedars Sinai Medical Center where she worked to develop and expand the oncology and lymphedema program in Los Angeles for seven years. Since 2007 she has treated patients with lymphedema, cancer-related dysfunction, and orthopedic issues at Longmont United Hospital in Longmont, Colorado.
In addition to her work as a full-time clinician, Jodi has served as a class instructor for Klose Training & Consulting’s Lymphedema Therapy Certification course since 2000. She is also the author and instructor for one of Klose Training’s most successful continuing education courses, “Breast Cancer Rehabilitation.”
Jodi has taught and presented at courses and conferences across the United States and in Europe on the topics of lymphedema and breast cancer rehabilitation.