Abhishek Chatterjee1, Jennifer Gass2, Krishnabhai Patel3, Dennis Holmes4, Katherine Kopkash5, Lashan Peiris6, Anne Peled7, Jessica Ryan8, Mahmoud El-Tamer9, Julie Reiland10. 1. Department of Surgery, Tufts Medical Center, Boston, MA, USA. chatterjeeac14@gmail.com. 2. Breast Health Center, Women and Infants' Hospital, Providence, RI, USA. 3. Department of Surgery, Tufts Medical Center, Boston, MA, USA. 4. Department of Surgery, John Wayne Cancer Institute, Santa Monica, CA, USA. 5. Department of Surgery, NorthShore University HealthSystem, Evanston, IL, USA. 6. Department of Surgery, University of Alberta (Misericordia Community Hospital), Edmonton, AB, Canada. 7. , San Francisco, CA, USA. 8. Catholic Medical Center, Manchester, NH, USA. 9. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. 10. Avera Medical Group McHale Institute, Sioux Falls, SD, USA.
Abstract
BACKGROUND: Several definitions of oncoplastic surgery have been reported in the literature. In an effort to facilitate communication regarding oncoplastic surgery to patients, trainees, and among colleagues, the American Society of Breast Surgeons (ASBrS) aimed to create a consensus definition and classification system for oncoplastic surgery. METHODS: We performed a comprehensive literature search for oncoplastic surgery definitions using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Following this, a consensus definition and classification system was created by the ASBrS. RESULTS: Overall, 30 articles defining oncoplastic surgery were identified, with several articles contradicting each other. The ASBrS definition for oncoplastic surgery defines this set of breast-conserving operations using volume displacement and volume replacement principles as: "Breast conservation surgery incorporating an oncologic partial mastectomy with ipsilateral defect repair using volume displacement or volume replacement techniques with contralateral symmetry surgery as appropriate". Volume displacement is defined as closing the lumpectomy defect and redistributing the resection volume over the preserved breast, and is divided into two levels: level 1 (< 20%) and level 2 (20-50%). Volume replacement includes those situations when volume is added using flaps or implants to correct the partial mastectomy defect. CONCLUSION: The ASBrS oncoplastic surgery definition and classification system provides language to facilitate discussion and teaching of oncoplastic surgery among breast surgeons, trainees, and patients.
BACKGROUND: Several definitions of oncoplastic surgery have been reported in the literature. In an effort to facilitate communication regarding oncoplastic surgery to patients, trainees, and among colleagues, the American Society of Breast Surgeons (ASBrS) aimed to create a consensus definition and classification system for oncoplastic surgery. METHODS: We performed a comprehensive literature search for oncoplastic surgery definitions using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Following this, a consensus definition and classification system was created by the ASBrS. RESULTS: Overall, 30 articles defining oncoplastic surgery were identified, with several articles contradicting each other. The ASBrS definition for oncoplastic surgery defines this set of breast-conserving operations using volume displacement and volume replacement principles as: "Breast conservation surgery incorporating an oncologic partial mastectomy with ipsilateral defect repair using volume displacement or volume replacement techniques with contralateral symmetry surgery as appropriate". Volume displacement is defined as closing the lumpectomy defect and redistributing the resection volume over the preserved breast, and is divided into two levels: level 1 (< 20%) and level 2 (20-50%). Volume replacement includes those situations when volume is added using flaps or implants to correct the partial mastectomy defect. CONCLUSION: The ASBrS oncoplastic surgery definition and classification system provides language to facilitate discussion and teaching of oncoplastic surgery among breast surgeons, trainees, and patients.
Authors: Ida Oberhauser; Jasmin Zeindler; Mathilde Ritter; Jeremy Levy; Giacomo Montagna; Robert Mechera; Savas Deniz Soysal; Liliana Castrezana López; Veronica D'Amico; Elisabeth Artemis Kappos; Fabienne Dominique Schwab; Madleina Müller; Christian Kurzeder; Martin Haug; Walter Paul Weber Journal: Breast Care (Basel) Date: 2020-11-25 Impact factor: 2.860