A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons

Chatterjee, Abhishek; Gass, Jennifer; Patel, Krishnabhai; Holmes, Dennis R.; Kopkash, Katherine; Peiris, Lashan; Peled, Anne Warren; Ryan, Jessica; El‐Tamer, Mahmoud; Reiland, Julie

doi:10.1245/s10434-019-07345-4

Cited by 141 publications

(142 citation statements)

References 50 publications

Supporting

Mentioning

139

Contrasting

Unclassified

Order By: Relevance

“…In the present study, we have based our definition on that proposed by Clough et al [7], which is widely accepted. In the publication by Chatterjee et al [18], a consensus definition and classifications system, developed by the American Society of Breast Surgeons, was presented which was strongly influenced by Clough's definition [7] . By using a widely accepted definition of OBS we hope that the results from the present study can be used for comparison with future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Patients in the OBS cohort were treated with either level I or II oncoplastic surgery [7,18]. In this study, we define level I OBS as the adaptation of glandular tissue with minor mobilization of glandular tissue with or without repositioning of the NAC, and Level II OBS as reduction (therapeutic) mammoplasty, volume displacement and volume replacement techniques.…”

Section: Oncoplastic Breast Surgery Cohortmentioning

confidence: 99%

“…With the development of the Breast-Q™ [16,17] and recently the Breast-Q™ BCT module, a validated instrument for patient-reported outcome measures (PROMs) is now available. OBS can be defined as level I and level II surgical techniques [7,18] and OBS can be considered as an extension of conventional BCS [10]. By applying OBS in BCS, a larger number of patients may achieve good esthetic and functional outcomes, and some may also escape mastectomy [6,7,11,19,20].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

Rose

Svensson

Handler

et al. 2020

Breast Cancer Res Treat

View full text Add to dashboard Cite

Introduction Oncoplastic breast surgery (OBS) has developed as an extension of breast-conserving surgery (BCS) in an effort to improve esthetic and functional outcome following surgery for breast cancer. The aim of the present study was to evaluate the possible benefits of OBS, as compared with BCS, with regard to health-related quality of life (HRQoL), using patient-reported outcome measures (PROMs). Patients and methods Patients treated with OBS (n = 200) and BCS (n = 1304) in the period 1 January 2008 to 31 December 2013 were identified in a research database and in the Danish Breast Cancer Cooperative Group (DBCG) registry. Data on patient, tumor, and treatment characteristics were retrieved from the DBCG registry. Patients were sent a survey including the Breast-Q™ BCT postoperative module and a study-specific questionnaire (SSQ) in 2016. A good outcome in the Breast-Q module was defined as above the median. OBS was compared to BCS using a logistic regression analysis, and then adjusted for potential confounders, yielding odds ratios (OR) with 95% confidence intervals. Results There was a statistically significant better outcome considering the HRQoL domain "Psychosocial Well-being " for patients treated with OBS as compared with BCS (OR 2.15: 1.25-3.69). No statistically significant differences were found for the domains "Physical Well-being" (0.83: 0.50-1.39), "Satisfaction with Breast" (0.95: 0.57-1.59), or "Sexual Wellbeing" (1.42: 0.78-2.58). Conclusion The present study indicates better outcomes of HRQoL for breast cancer patients treated with OBS as compared to patients treated with BCS. There was no increase in physical discomfort among OBS patients despite more extensive surgery.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Oncoplastic Breast Surgery Cohortmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

Rose

Svensson

Handler

et al. 2020

Breast Cancer Res Treat

View full text Add to dashboard Cite

show abstract

“…The American Society of Breast Surgeons consensus definition of oncoplastic surgery is ''A form of breastconservation surgery that includes oncologic resection with a partial mastectomy, ipsilateral reconstruction using volume displacement or volume replacement techniques with possible contralateral symmetry surgery when appropriate''. 3 The classification system further divided oncoplastic surgery into Level 1 and Level 2 volume displacement operations in addition to volume replacement operations for the appropriately sized breast partial mastectomy defects. This definition and classification system was perceived as the most inclusive, and simple to teach and explain, making it clinically applicable for patient care and education.…”

Section: Presentmentioning

confidence: 99%

ASO Author Reflections: The American Society of Breast Surgeons Definition of Oncoplastic Surgery

Chatterjee

Reiland

2019

Ann Surg Oncol

Self Cite

View full text Add to dashboard Cite

“…Oncoplastic breast-conserving surgery (BCS) has been developed to overcome the cosmetic disadvantages of conventional BCS and has become a commonly used procedure in patients with breast cancer [1]. Oncoplastic BCS can be divided into volume displacement and volume replacement techniques [2]. In Asian women, the size of the breast is relatively small, whereas the size of the tumor is large [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Volume replacement with diced acellular dermal matrix in oncoplastic breast-conserving surgery: a prospective single-center experience

et al. 2020

View full text Add to dashboard Cite

Background: Several studies have reported the use of acellular dermal matrix in breast reconstruction. However, the primary role of acellular dermal matrix in these studies was to support the implant; there are no reports on the use of acellular dermal matrix exclusively as volume replacement. Thus, we aimed to evaluate the safety and effectiveness of filling of the defect with acellular dermal matrix in oncoplastic breast-conserving surgery. Methods: We prospectively recruited 120 adult breast cancer patients who were scheduled to undergo oncoplastic breast-conserving surgery with acellular dermal matrix filling from 2017 to 2018. Intraoperatively, diced human acellular dermal matrix measuring 3-5 mm was used on each side to fill in the excisional defect immediately. After 6 months, satisfaction of the patients and surgeons with overall and cosmetic outcomes was evaluated with a survey using a 10-point scale. Postoperative complications were assessed at 2 weeks and 6 months postoperatively. Results: Of the 117 patients who were evaluated for their satisfaction, 94.0% were strongly satisfied with the cosmetic outcomes and 90.4% were strongly satisfied overall. Patient overall satisfaction scores were higher than surgeon satisfaction scores (p < 0.001). Of the 117 patients who underwent evaluation of complications 6 months postoperatively, six (5.1%) had hematoma and seven (6.0%) had seroma. The overall reoperation rate due to complications was 8.5%. Only two patients needed acellular dermal matrix removal due to hematoma and inflammation. Conclusion: Oncoplastic breast-conserving surgery with acellular dermal matrix filling of defects can be performed safely with high cosmetic satisfaction.

show abstract

A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons

Cited by 141 publications

References 50 publications

Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer

ASO Author Reflections: The American Society of Breast Surgeons Definition of Oncoplastic Surgery

Volume replacement with diced acellular dermal matrix in oncoplastic breast-conserving surgery: a prospective single-center experience

Contact Info

Product

Resources

About