Oncoplastic breast-conserving surgery

• Verfasst von: Heil, Jörg Moritz [VerfasserIn]
• Verfasst von: Riedel, Fabian [VerfasserIn]
• Verfasst von: Wallwiener, Markus [VerfasserIn]
• Titel: Oncoplastic breast-conserving surgery
• Titelzusatz: More relevant than ever?$dResults of a survey among breast surgeons
• Verf.angabe: Joerg Heil, Fabian Riedel, Christine Solbach, Bernd Gerber, Mario Marx, Sara Brucker, Christoph Heitmann, Jürgen Hoffmann, Markus Wallwiener, Michael P. Lux, Diethelm Wallwiener, Markus Hahn
• E-Jahr: 2019
• Jahr: [April 2019]
• Umfang: 6 S.
• Fussnoten: Gesehen am 14.05.2019 ; Published online: 17 January 2019
• Titel Quelle: Enthalten in: Archives of gynecology and obstetrics
• Ort Quelle: Berlin : Springer, 1870
• Jahr Quelle: 2019
• Band/Heft Quelle: 299(2019), 4, Seite 1109-1114
• ISSN Quelle: 1432-0711
• DOI: doi:10.1007/s00404-019-05054-7
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Breast surgery
• Sach-SW: Breast-conserving therapy
• Sach-SW: Consensus
• Sach-SW: Oncoplastic surgery
• K10plus-PPN: 166540535X

Abstract

PurposeOncoplastic breast-conserving surgery has been part of clinical routine for several years without an internationally accepted nomenclature, standardization or a systematic evaluation of single surgical procedures.MethodsWe carried out a structured survey of breast surgeons (n = 50) during the annual meeting of the German Society for Senology in Berlin 2017. In the run-up to the event, 10 questions were determined and released for an anonymous survey during the consensus meeting.ResultsMost surgeons participating in the consensus meeting had an expertise of more than 200 oncologic breast surgeries in the last 3 years and approved the need of a higher rate of standardization in oncoplastic techniques. From the oncological standpoint, oncoplastic surgery is considered safe with a comparable rate of compilations as seen in conventional breast-conserving procedures. Most surgeons approve that using oncoplastic surgery, higher rates of breast conservation and improved aesthetic results can be accomplished. The majority of the participants would endorse a more systematic review of subjective aesthetic results in clinical routine.ConclusionsA higher degree in standardization of oncoplastic breast surgery is required for surgical-technical, educational, and scientific reasons as well as for a more differentiated monetary compensation of the surgical procedures. This process has already been started.