Reply to: Evidence-based surgery to realize a successful extreme oncoplastic breast conservation

Pearce, Belinda; Fiddes, Roanne; Paramanathan, Nirmala; Chand, Natalie; Laws, Siobhan; Rainsbury, Richard

doi:10.1016/j.ejso.2020.02.004

Cited by 1 publication

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Quality of life ( 12 , 14 ) was also evaluated. In addition, four replies were found ( 29 – 31 , 34 ).…”

Section: Resultsmentioning

confidence: 99%

“…It was high (37.8%) in a study in which 73.9% of patients had multifocal/multicentric disease ( 13 ). The rate of conversion to mastectomy ranges from 0% to 13.5% ( 8 , 13 , 14 , 34 ). One study reported 21% and 3% of mastectomy when EO was associated with traditional mammoplasty or latissimus dorsi, respectively ( 34 ).…”

Section: Resultsmentioning

confidence: 99%

“…It was high (37.8%) in a study in which 73.9% of patients had multifocal/multicentric disease (13). The rate of conversion to mastectomy ranges from 0% to 13.5% (8,13,14,34). One study reported 21% and 3% of mastectomy when EO was associated with traditional mammoplasty or latissimus dorsi, respectively (34).…”

Section: Resultsmentioning

confidence: 99%

“…EO is not for beginners ( 31 ). For OS, it is necessary to plan, perform clinical and imaging evaluations, and have surgical training ( 30 , 34 ). Clinical evaluation, preoperative radiological evaluation, intraoperative frozen section margins, intraoperative specimen radiography, and clipped cavity margins are helpful for patient selection and operative evaluation ( 29 , 31 ).…”

Section: Discussionmentioning

confidence: 99%

“…Reflections and discussions of published articles ( 29 , 30 , 34 ) are important, but systematic reviews ( 8 ) are essential. Since the definition of EO ( 7 , 11 ), the literature has evolved in indications, and this review considers the new technical possibilities ( Table 2 ).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Extreme oncoplasty: past, present and future

Vieira,

Paulinelli,

de Oliveira-Junior

2024

Front. Oncol.

View full text Add to dashboard Cite

Breast surgery has evolved from mastectomy to breast-conserving surgery (BCS). Breast oncoplastic surgery later emerged with the inclusion and development of techniques used in plastic surgery for breast neoplasms. Recently, a new paradigm has been considered for mastectomy candidates with large multifocal and multicentric tumours, designated extreme oncoplasty (EO), which has allowed new techniques to be applied to tumours that would have been ineligible for BCS before. There are few publications and no uniform descriptions grouping all the technical possibilities and new indications together. We performed this a review with the objective of evaluating the indications and surgeries performed in the EO context, representing a new perspective for BCS. We observed new indications as extensive microcalcifications, locally advanced breast carcinoma with partial response to chemotherapy, small to moderate-sized non-ptotic central tumours and extreme ptosis. Small breasts are able for EO since the presence of ptosis. New surgeries are reported as disguised geometric compensation, perforators flaps, local/regional flaps, latissimus dorsi miniflap and partial breast amputation. It is important to decrease barriers to oncoplastic surgery if we want to increase the use of EO and BCS rates.

show abstract

“…Quality of life ( 12 , 14 ) was also evaluated. In addition, four replies were found ( 29 – 31 , 34 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…It was high (37.8%) in a study in which 73.9% of patients had multifocal/multicentric disease (13). The rate of conversion to mastectomy ranges from 0% to 13.5% (8,13,14,34). One study reported 21% and 3% of mastectomy when EO was associated with traditional mammoplasty or latissimus dorsi, respectively (34).…”

Section: Resultsmentioning

confidence: 99%