Oncoplastic surgery for breast cancer: Global perspectives and trends

Abstract

Oncoplastic surgery (OPS) is a form of breast conservation that combines definitive oncologic resection with optimal aesthetic outcomes. Various definitions exist, with most focusing on volume displacement techniques to close the lumpectomy defect and redistribute the remaining breast volume over the preserved breast. Although its oncologic safety has been well demonstrated, uptake into practice varies globally. This article details the definition, safety, training opportunities, and practice patterns of OPS on a global scale.

Resección de Tumor Phyllodes con Reconstrucción Inmediata de la Mama, Cirugía Oncoplástica: Reporte de Caso y Revisión de la Literatura

“…Las complicaciones asociadas con la cirugía oncoplástica, que incluyen infección del sitio quirúrgico, hematoma, formación de seroma, entre otras, se encuentran dentro de un rango que varía del 5% al 30%, y han sido ampliamente estudiadas (26)(27)(28)(29)(30). Es importante mencionar que los riesgos de complicaciones perioperatorias comunes, como la infección del sitio quirúrgico, hematoma y formación de seroma, son generalmente comparables entre la cirugía oncoplástica y las cirugías conservadoras de mama estándar.…”

Training in oncoplastic surgery for mastologists

“…Internationally, various basic training courses for breast surgeons exist, which may follow training in general surgery, oncological surgery, or gynecology. OPS training is considered a secondary surgical skill 38 In Brazil, breast cancer surgeries are performed by mastologists and oncological surgeons. Mastology is a two-year specialty, with initial two- or three-year training in general surgery or gynecology 39 .…”