First international consensus conference on standardization of oncoplastic breast conserving surgery

Weber, Walter; Soysal, Savas D.; El‐Tamer, Mahmoud; Sacchini, Virgilio; Knauer, Michael; Tausch, Christoph; Hauser, Nik; Günthert, Andreas R.; Harder, Yves; Schwab, Fabienne D.; Fitzal, Florian; Dubsky, Peter; Bjelic‐Radisic, Vesna; Reitsamer, Roland; Koller, Rupert; Heil, Jörg; Hahn, Markus; Blohmer, Jens-Uwe; Hoffmann, Jürgen; Solbach, Christine; Heitmann, Christoph; Gerber, Bernd; Haug, Martin; Kurzeder, Christian

doi:10.1007/s10549-017-4314-5

Cited by 107 publications

(87 citation statements)

References 32 publications

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“…Recently, attempts at standardization have been proposed, but terminology and algorithms for decision‐making are complex and the success of this approach is yet to be determined. Agreement regarding the need for standardized outcome assessment, including standard definitions of complications and quality‐of‐life assessments using validated patient‐reported outcome measures, however, must be a priority if future research in oncoplastic surgery is to be meaningful. The recently developed core outcome set for reconstructive breast surgery is one way by which this may be achieved.…”

Section: Discussionmentioning

confidence: 99%

Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study

O’Connell

Baker

Trickey

et al. 2018

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study

O’Connell

Baker

Trickey

et al. 2018

British Journal of Surgery

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“…The OPBC is committed to bringing safe and effective oncoplastic breast surgery to routine patient care, namely oncoplastic breast-conserving surgery (OPS), as well as NSM and skin-sparing mastectomy (SSM) with immediate reconstruction [ 12 ]. After the first consensus conference on standardization of OPS in German-speaking countries in 2017, the need was recognized for an independent non-profit organization to develop recommendations that are applicable globally [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Oncoplastic Breast Consortium consensus conference on nipple-sparing mastectomy

Weber

Haug

Kurzeder

et al. 2018

Breast Cancer Res Treat

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PurposeIndications for nipple-sparing mastectomy (NSM) have broadened to include the risk reducing setting and locally advanced tumors, which resulted in a dramatic increase in the use of NSM. The Oncoplastic Breast Consortium consensus conference on NSM and immediate reconstruction was held to address a variety of questions in clinical practice and research based on published evidence and expert panel opinion.MethodsThe panel consisted of 44 breast surgeons from 14 countries across four continents with a background in gynecology, general or reconstructive surgery and a practice dedicated to breast cancer, as well as a patient advocate. Panelists presented evidence summaries relating to each topic for debate during the in-person consensus conference. The iterative process in question development, voting, and wording of the recommendations followed the modified Delphi methodology.ResultsConsensus recommendations were reached in 35, majority recommendations in 24, and no recommendations in the remaining 12 questions. The panel acknowledged the need for standardization of various aspects of NSM and immediate reconstruction. It endorsed several oncological contraindications to the preservation of the skin and nipple. Furthermore, it recommended inclusion of patients in prospective registries and routine assessment of patient-reported outcomes. Considerable heterogeneity in breast reconstruction practice became obvious during the conference.ConclusionsIn case of conflicting or missing evidence to guide treatment, the consensus conference revealed substantial disagreement in expert panel opinion, which, among others, supports the need for a randomized trial to evaluate the safest and most efficacious reconstruction techniques.Electronic supplementary materialThe online version of this article (10.1007/s10549-018-4937-1) contains supplementary material, which is available to authorized users.

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“…Numerous proposals have expanded the OPS range of techniques in the literature [ 27 – 39 ], but it is important to highlight the factors that guide them to success: The surgeon must be trained under the OPS theoretical–practical model [ 40 ] to understand the importance of breast anatomy and pedicles used by plastic surgery, breast segments proposed by Acea [ 22 ] and according to the complexity levels (I–II) proposed by Clough for a proper technique selection that suits the patient and the glandular density of the breast [ 13 , 41 , 42 ]. The patient must understand the benefits, risks and alternatives of OPS so that they may provide informed consent [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…The surgeon must be trained under the OPS theoretical–practical model [ 40 ] to understand the importance of breast anatomy and pedicles used by plastic surgery, breast segments proposed by Acea [ 22 ] and according to the complexity levels (I–II) proposed by Clough for a proper technique selection that suits the patient and the glandular density of the breast [ 13 , 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic surgery for the conservative treatment of breast cancer in Perú’s National Cancer Institute

Ziegler

Díaz²,

Valencia³

et al. 2018

ecancer

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BackgroundOncoplastic surgery for breast cancer (OPS) has been a surgical trend for the past 25 years. In 2012, OPS has been introduced as the standard treatment for a selected group of patients at the National Cancer Institute of Peru (INEN). The aim of this study is to describe our findings.MethodsThis is a retrospective and descriptive study that identified demographics, tumour-pathologic features and includes patients solely treated since diagnosis until late follow-up at INEN. These OPS patients were identified from the conservative treatment patients group by review of medical charts and creation of a database for periods December 2005 through December 2015.ResultsA total of 146 patients were ruled in by the inclusion criteria. All patients were Peruvian females, 56.2% being 51 or older. 93.8% had core biopsy diagnosis of breast cancer and 52.1% located at the upper outer quadrant. 79.5% patients had upfront OPS and the round block (43.2%) and reduction/mastopexy (23.3%) were the most used techniques. pT2 was the most frequent size (54.7%). We achieved negative margins in 134 patients (93.2%) in a single procedure. Of 29 patients, who had neoadjuvant treatment, 11 achieved pCR. Only 5.5% had pN2 or higher. 95.2% received complimentary external beam radiotherapy.ConclusionsOPS has proven to be a reliable surgical option, both for aesthetic and oncologic outcomes. Important points for achieving these results are breast surgeons having properly trained under the OPS philosophy and knowing the patients’ characteristics for correct technique selection.

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First international consensus conference on standardization of oncoplastic breast conserving surgery

Cited by 107 publications

References 32 publications

Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study

Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study

Oncoplastic Breast Consortium consensus conference on nipple-sparing mastectomy

Oncoplastic surgery for the conservative treatment of breast cancer in Perú’s National Cancer Institute

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