Oncoplastic breast conserving surgery and oncological outcome: Systematic review

Yiannakopoulou, Eugenia; Mathelin, Carole

doi:10.1016/j.ejso.2016.02.002

Cited by 49 publications

(31 citation statements)

References 39 publications

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“…Many are poorly designed and reported, with inconsistent end‐points that limit cross‐study comparison and meaningful data synthesis. Several recent systematic reviews have highlighted the paucity of high‐quality clinical, oncological and cosmetic outcome data, and emphasized the urgent need for well designed prospective studies to establish the indications and outcomes of TM to inform best practice.…”

Section: Introductionmentioning

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: Introductionmentioning

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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“…In the recent decades, the surgical management of breast cancer has steadily evolved from radical surgery to breast conservation. As a result, oncoplastic surgical techniques have emerged and are expanding dramatically . Oncoplastic surgery combines oncologic resection with immediate breast reconstruction using techniques derived from plastic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review by Yiannakopoulou et al revealed that the evidence on the oncological outcome of oncoplastic breast surgery is still limited. They state that there is a lack of double blind randomized controlled trials, which is likely due to the difficulty in designing this type of trial for this type of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Due to improved diagnostic techniques in breast imaging and routine annual physical exam, early discovery of breast lesions has become more frequent. Breast conserving surgery (BCS) and radiotherapy (RT), known as breast conservation therapy (BCT), has become an option for care for many women with early breast cancer because of the comparable survival of BCT versus total mastectomy . BCS consists of complete resection of the tumor with acceptable margins while limiting the excision of the surrounding breast tissue.…”

Section: Introductionmentioning

confidence: 99%

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Oncoplastic breast surgery: Achieving oncological and aesthetic outcomes

Paridon

Kamali

Paul

et al. 2017

Journal of Surgical Oncology

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“…Therefore, articles about OBCS are assorted and show a great variation of involved surgical margins rate (0 to 36%) (16,17).…”

Section: Hernanz Et Al Tailored Needle-guided Excisionmentioning

confidence: 99%

Oncoplastic breast conserving surgery with tailored needle-guided excision

et al. 2017

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Background: Breast conserving surgery (BCS) administered with oncoplastic approach (OBCS), when it is required, is currently the gold standard for the treatment of early breast cancer. Wire-guided localization (WL) is the most popular technique used to help surgeon in breast cancer excision. Currently, a universal and undeniable goal is to minimize the rate of positive margins and re-excision operation after BCS improving cosmetic outcome and decreasing health care costs. This study is aimed to report our experience combining OBCS and tailored WL as surgical approach for early breast cancers.Methods: We performed a retrospective study on 148 breast cancer patients who were treated with OBCS and tailored WL, which consists in individualization of the number and location of wires depending on patient particularities, in our Breast Unit from March 2013 to December 2015. A multivariate analysis was used to determine the association between clinic-pathologic variables, which can be known preoperatively, and margin status.Results: The rate of affected margins was 13.5% and 10.8% patients underwent re-interventions for oncologic reasons. Multifocality was strongly associated with involved margins [odds ratio (OR) 4.67].Conclusions: OBCS together with tailored WL obtains an acceptable rate of positive margins and high rate of final BCS.

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Oncoplastic breast conserving surgery and oncological outcome: Systematic review

Cited by 49 publications

References 39 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 surgery: Achieving oncological and aesthetic outcomes

Oncoplastic breast conserving surgery with tailored needle-guided excision

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