Dimitriοs M Dragoumis

Dimitriοs M Dragoumis
Κλινική «ΑΓΙΟΣ ΛΟΥΚΑΣ» · Department of Breast Surgery

MD, FEBS (breast)

About

40
Publications
8,970
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319
Citations
Introduction
Oncoplastic Breast Surgeon with a demonstrated history of working in the hospital & health care industry. Highly trained and skilled in all aspects of oncoplastic breast conservation and breast reconstruction techniques.
Additional affiliations
August 2016 - July 2018
University Hospitals Of Leicester NHS Trust
Position
  • Consultant
January 2015 - July 2016
Guy's and St Thomas' NHS Foundation Trust
Position
  • Senior Clinical Fellow in Oncoplastic/Reconstructive Breast Surgery
September 2013 - January 2015
King's College Hospital NHS Foundation Trust
Position
  • Senior Clinical Fellow in Breast Surgery
Education
September 1994 - June 2020

Publications

Publications (40)
Article
Full-text available
Background: Partial breast reconstruction (PBR) using chest wall perforator flaps (CWPF) is offered as a means of volume replacement, to facilitate better cosmetic outcomes in breast conservation surgery. We hereby present a 4-year prospective database of all CWPF performed in University Hospitals of Leicester, to evaluate the clinical outcomes and...
Article
Background: Therapeutic mammaplasty (TM) may be an alternative to mastectomy, but few well designed studies have evaluated the success of this approach or compared the short-term outcomes of TM with mastectomy with or without immediate breast reconstruction (IBR). Data from the national iBRA-2 and TeaM studies were combined to compare the safety a...
Article
Full-text available
Background: Recommendations for mastectomy by multidisciplinary teams (MDTs) may contribute to variation in mastectomy rates. The primary aim of this multicentre prospective observational study was to describe current practice in MDT decision-making for recommending mastectomy. A secondary aim was to determine factors contributing to variation in...
Article
Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on...
Article
Full-text available
Introduction: Hemangiopericytoma (HPC)/solitary fibrous tumor (SFT) is a very uncommon tumor of uncertain malignant behavior. In 1942, Stout and Murray first characterized these neoplasms as "vascular tumors arising from Zimmerman's pericytes" and till now hemangiopericytomas and solitary fibrous tumors of the soft tissues are regarded as features...
Article
Full-text available
Extramedullary relapses of acute lymphoblastic leukemia (ALL) are rare and usually localized in the central nervous system. We describe such an uncommon case of extramedullary relapse of ALL in the breast of a 44 year old female. The patient, who had been diagnosed with precursor B cell, Philadelphia positive (Ph+) acute lymphoblastic leukemia (ALL...
Article
Full-text available
Pure mucinous carcinoma of the male breast is an extremely uncommon malignant breast neoplasm and usually occurs at advanced age. It is characterized by a higher degree of mucus production, a more benign behavior, a lower incidence of metastatic nodal involvement, and a subsequent higher survival rate. We describe such a case of a 59-year-old male,...
Article
Full-text available
Schwannomas are generally benign, slow growing tumors, which can originate from any nerve that has a Schwann cell sheath. Digestive tract schwannomas are rare and are usually asymptomatic. We present the case of a 48-year-old woman with a symptomatic submucosal tumour of the gastric antrum. The patient underwent partial gastrectomy and the histolog...
Conference Paper
Background: CA15.3 is the most widely used tumor marker in breast cancer. The aim of this work was to identify: (i) any relationship between preoperative CA15.3 serum levels and various clinicopathological parameters and (ii) the prognostic value of pre-surgical CA15.3 levels in patients with primary breast cancer. Materials and Methods: During 200...
Conference Paper
Background: Breast cancer at a very young age has been reported to have a more aggressive biological behavior and to be associated with a relatively poor prognosis compared to older patients. The objective of this study was to evaluate the clinicopathological trends and therapeutic strategies in a very young breast cancer population. Materials and...
Conference Paper
Aims: Acute mesenteric ischemia constitutes a complex of pathophysiological disorders, which eventually lead to small bowel necrosis. “Second-look” laparotomy, 24-48 hours after the initial operation, has been accepted as the usual strategy of surgical management for mesenteric vascular disease in predicting intestinal viability, but debate continu...
Article
Full-text available
Femoral hernias are more common in women and lead to a substantial higher rate for an emergency operation, due to strangulation. Incarcerated femoral hernia with fallopian tube as a content is an extremely rare condition. A 20-year-old woman presented to the emergency department complaining of a 6-day right groin swelling, which became painful and...
Article
Full-text available
We report a case involving a 45-year-old woman, who presented with an axillary mass 10 years after bilateral cosmetic augmentation mammaplasty. A lump was detected in the left axilla, and subsequent mammography and magnetic resonance imaging demonstrated intracapsular rupture of the left breast prosthesis. An excisional biopsy of the left axillary...
Article
Full-text available
Dermatofibrosarcoma protuberans (DFSP) of the breast is exceptionally obscure and late local recurrence of this entity on this site is even more uncommon. We describe such a case in a 48-year-old woman, who at the age of 35 had a DFSP excised from her right breast. Thirteen years later, she developed an ovoid mass in her right breast over the posts...
Article
Background: Triple negative breast cancer (TNBC) is defined by the lack of expression of estrogen, progesterone receptors and HER2/neu. It is also characterized by high relapse rate and carries a relatively poor prognosis, because of its aggressive biological behavior and lack of targeted therapies. The aim of this study was to describe the clinico-...
Conference Paper
Background: Triple negative breast cancer (TNBC) is defined by the lack of expression of estrogen, progesterone receptors and HER2/neu. It is also characterized by high relapse rate and carries a relatively poor prognosis, because of its aggressive biological behavior and lack of targeted therapies. The aim of this study was to describe the clinico-...
Article
We present a case of a 66-year-old man, who was admitted with a 6-hour history of severe diffuse abdominal pain of acute onset, accompanied by nausea and flatulence. The patient underwent an exploratory laparotomy, which revealed the presence of multiple diverticules of the jejeunum, one of which was ruptured. The patient was treated with segmental...
Article
Full-text available
Spontaneous ruptures of the colon and rectum are extremely uncommon clinical entities and always require laparotomy. A 44-year-old female was admitted with a 12-hour history of severe abdominal pain periumbilically and at the right hypochondrium. The patient was immediately transferred to the department of surgery for close surgical observation. Co...
Article
Full-text available
Fibroepithelial polyps or hypertrophied anal papillae are essentially skin tags that project up from the dentate line and the junction between the skin and the epithelial lining of the anus. They are usually small in size, but sometimes they become enlarged, causing unexpected medical conditions. An extremely rare case of a giant hypertrophied anal...
Article
Full-text available
Gynaecomastia is the most frequent benign condition of the male breast and is ranging from 30 to 66% in all group ages. The typical clinical appearance of gynaecomastia is that of subareolar, bilateral, symmetrical discoid enlargement of breast tissue, while its histological features consist of proliferation of mammary gland and stroma. Gynaecomast...
Article
Full-text available
We report a case of a patient who presented with an acute abdomen 2 days after the insertion of an intragastric balloon system and discuss in detail the advantages and drawbacks of these devices in the therapy of morbid obesity. A 43-year-old morbidly obese man was admitted to the department of surgery in shock with a 2-h history of severe diffuse...
Article
Full-text available
ABSTRACT Incarcerated rectal prolapse associated with a giant villous adenoma and depletion syndrome is a rather uncommon surgical entity. We report of a case of an 80-year-old woman with a 5 year history of mucous diarrhoea and rectal prolapse. On admission she presented with anaemia, prerenal uraemia, severe hyponatremia and hypokalemia. Physical...
Article
Full-text available
Breast spindle cell tumors (BSCTs), although uncommon, constitute a heterogeneous group of benign and malignant lesions, often necessitating different therapeutic approaches. This study describes the case of a 62-year-old man who displayed a gradually growing retroareolar tumor of the left breast. The mass was well circumscribed, unilateral, and gr...
Article
Full-text available
Primary osteogenic sarcomas of the breast are exceptionally uncommon. We describe such a case occurring in a 66-year-old woman who presented with a hard mass in her left breast. Mammography and breast ultrasonography showed a calcified breast lump, but features were not diagnostic. Modified radical mastectomy of the left breast, including axillary...
Article
Full-text available
Patients without evidence of breast disease, who present with axillary lymph node metastases, consistent with breast origin, comprise a diagnostic and therapeutic dilemma. We describe such a case of a 47-year-old female, who complained of swelling and pain of the left axilla, but no breast mass was palpable. Although histology identified a metastat...
Article
Full-text available
The clinical appearance and imaging findings of sarcoidosis and breast carcinoma may sometimes mimic one another, making the differential diagnosis between these two diseases difficult in some cases. A 69-year-old woman displayed an irregular shaped lesion in her left breast. Preoperative localization modalities detected a breast mass with malignan...
Article
Full-text available
Background: Breast hamartomas are rare benign tumours and not only histological, but also clinical features are indispensable for the diagnosis of this disease. We report a case of a mammary hamartoma and analyze the diagnostic difficulties of this rare entity. Case Report: We describe such a case of a 43-year-old woman, who displayed a slowly grow...
Article
Full-text available
Intracystic papillary carcinoma (IPC) of the breast is an uncommon malignant breast neoplasm and usually occurs in advanced age. It is characterized by a more benign behavior and a subsequent higher survival rate. We describe such a case of a 58-year-old female, who displayed a gradually growing tumor of the right breast. The lesion was well circum...
Article
Aim: The aim of the study was to compare the Mayo technique with the tension free repair of umbilical hernia. Patients-Methods: Between 2001-206, 74 patients [49 women (66.20%)-25 men (33.80%), with mean age 62.2±12.4 years] were submitted to umbilical hernia repair. 35 patients (47.3%) underwent tension free hernia repair with the use of a polypro...
Article
Full-text available
We report a case of primary hypertrophic pyloric stenosis combined with a paraduodenal hernia in a 35-year-old woman. The patient presented with signs of obstructive ileus. CT of the abdomen revealed a marked dilatation of the stomach and the proximal jejunum as well as a circumferential thickening of the antral-pyloric region with characteristics...
Article
This clinical study was designed in order to compare tension-free hernia repair (with insertion of polypropylene plug) to classic McVay technique used to treat strangulated femoral hernia. Between 1992 and 2006, 28 patients (8 men - 20 women; mean age: 61.3 years) were submitted to emergency operation due to strangulated femoral hernia. Twenty four...
Article
A 36-year-old man was admitted with a 3-day history of severe abdominal pain in the right upper abdomen and was initially diagnosed with acute cholecystitis or acute retrocecal appendicitis. The patient was transferred to the department of surgery for close surgical observation. CT of the entire abdomen was performed just before the operation, whic...
Article
Full-text available
Pseudocysts of the adrenal gland are rare lesions, which are usually discovered as incidental findings. Since they are in the majority of cases non-functioning, they become symptomatic only when they are complicated with rupture, haemorrhage or infection. We present a case of a 28-year-old woman in the 26th gestational week, who developed an acute...
Article
Acute appendicitis consists the most common cause for emergent abdominal surgical operation. Despite recent advances in diagnostic medicine, the percentage of unnecessary appendectomies remains high. The aim of the present work was to study the possible predictive value of white blood cell count and C-reactive protein in the diagnosis of acute appe...
Article
Dirophilariasis is a parasitic disease, which usually affects the human subcutaneous tissue and the lungs. The subcutaneous form of dirofilariasis usually presents as a local swelling and nodule, which may be difficult to differentiate from other diseases of the skin and subcutaneous tissue. We present two cases of subcutaneous dirofiliaris, which...
Article
The hernia of linea semilunaris or so-called Spiegel's hernia is a rare transmuscular hernia of the lateral abdominal wall at any point along with this line; however, the aponeurotic defect is usually located in the crossing of this line with the linea semicircularis of Douglas. It may cause diagnostic difficulties. Over the last six-year period ei...

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Projects (3)
Project
Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy