Reproducibility of three classification systems of ductal carcinoma in situ of the breast using a web-based survey

Schuh, Fernando; Biazús, Jorge Villanova; Resetkova, Erika; Benfica, Camila Zanella; Edelweiss, Maria Isabel Albano

doi:10.1016/j.prp.2010.06.004

Cited by 24 publications

(27 citation statements)

References 23 publications

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“…Oncological mammoplasty adapts mammoplasty to the surgical treatment of breast cancer. It is a well-defined surgical strategy to treat selected cases that promotes an increase in conservative surgery indications 22 . Reduction mammoplasty techniques appear to be safe for treating neoplasms in any mammary region with satisfactory aesthetic results.…”

Section: Mastology Point Of Viewmentioning

confidence: 99%

“…Reduction mammoplasty techniques appear to be safe for treating neoplasms in any mammary region with satisfactory aesthetic results. They are based on original techniques that preserve the ascending and perfusing features of the nipple-areolar complex 22 . For conservative surgical treatments, breast cancer surgeons should take the following into consideration: local recurrence, survival rates and patient satisfaction.…”

Section: Mastology Point Of Viewmentioning

confidence: 99%

“…The results of oncological mammoplasty are similar to those obtained in purely esthetic reductions. 22 The proper preoperative planning should consider tumor location and the relation of the area to be resected with the total mammary volume. That will determine the technique to be applied and the location of the incisions for a satisfactory outcome both from the oncological and the aesthetic points of view.…”

Section: Mastology Point Of Viewmentioning

confidence: 99%

“…Although these patients could have a good outcome with simple conservative surgery, they constitute the group with the highest morbidity in postoperative radiotherapy, which is usually very uncomfortable due to the volume and shape of their breasts. In addition, dose homogeneity is more difficult to obtain in large breasts 22 . A good preoperative evaluation (with emphasis on the resection area, incision design, possibility of immediate silhouette repair and mammary symmetry), besides providing treatment of malignant neoplasms, improves the patients' quality of life 22 .…”

Section: Mastology Point Of Viewmentioning

confidence: 99%

“…In addition, dose homogeneity is more difficult to obtain in large breasts 22 . A good preoperative evaluation (with emphasis on the resection area, incision design, possibility of immediate silhouette repair and mammary symmetry), besides providing treatment of malignant neoplasms, improves the patients' quality of life 22 . professional to master surgical techniques of reductive mammoplasty, to provide a treatment with oncological safety associated with excellence in aesthetic results for a greater number of patients.…”

Section: Mastology Point Of Viewmentioning

confidence: 99%

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Training in oncoplastic and reconstructive breast surgery: analysis of training in America and in the European Union with the brazilian reality

Pires¹,

Gazoto²,

Valadares³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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The reconstructive and aesthetic breast surgery is a major breakthrough for the treatment of women fighting cancer. An advantage for the patient is the reduction of surgical treatment to one professional, besides the psychological and aesthetic relief of having her breast comfortably reconstructed by the doctor who is already accompanying her in the treatment of the disease. Considering the advances in oncological breast surgery, fhe ideal surgical procedure is one that achieves local control of the disease by maintaining the symmetry of the breast with immediate reconstruction. Plastic surgery techniques can be used in breast cancer surgery. The original focus is on improving the quality of life of oncological patients undergoing treatments that may be more effective in the aesthetic and functional point of view from the perspective of traditional techniques of breast conservation. Formation and training of professionals able to treat breast cancer is an innovative concept that brings discussions to the scientific community. Specific studies are required to standardize oncoplastic training. Training in reconstructive and aesthetic breast surgery also brings about new perspectives of surgical research related to aesthetic results, quality of life and local control, as well as the optimization of operative time, reducing adverse effects and costs. This study aimed to evaluate the main existing techniques, the training time for specialization in the context of Brazilian reality and whether it is necessary to change the current training model. This review is based on the conviction shown in other publishing studies (in press), which demonstrate the best way and the best work load for the improvement of the mastologist regarding oncoplastic and reconstructive breast surgeries.

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Section: Mastology Point Of Viewmentioning

confidence: 99%

Section: Mastology Point Of Viewmentioning

confidence: 99%

Section: Mastology Point Of Viewmentioning

confidence: 99%

Section: Mastology Point Of Viewmentioning

confidence: 99%

Section: Mastology Point Of Viewmentioning

confidence: 99%

See 3 more Smart Citations

Training in oncoplastic and reconstructive breast surgery: analysis of training in America and in the European Union with the brazilian reality

Pires¹,

Gazoto²,

Valadares³

et al. 2017

Rev. Bras. Mastol. (Impr.)

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Variability in grading of ductal carcinoma in situ among an international group of pathologists

Seijen

Jóźwiak

Pinder

et al. 2021

The Journal of Pathology CR

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The prognostic value of cytonuclear grade in ductal carcinoma in situ (DCIS) is debated, partly due to high interobserver variability and the use of multiple guidelines. The aim of this study was to evaluate interobserver agreement in grading DCIS between Dutch, British, and American pathologists. Haematoxylin and eosin-stained slides of 425 women with primary DCIS were independently reviewed by nine breast pathologists based in the Netherlands, the UK, and the USA. Chance-corrected kappa (κ ma ) for association between pathologists was calculated based on a generalised linear mixed model using the ordinal package in R. Overall κ ma for grade of DCIS (low, intermediate, or high) was estimated to be 0.50 (95% confidence interval [CI] 0.44-0.56), indicating a moderate association between pathologists. When the model was adjusted for national guidelines, the association for grade did not change (κ ma = 0.53; 95% CI 0.48-0.57); subgroup analysis for pathologists using the UK pathology guidelines only had significantly higher association (κ ma = 0.58; 95% CI 0.56-0.61). To assess if concordance of grading relates to the expression of the oestrogen receptor (ER) and HER2, archived immunohistochemistry was analysed on a subgroup (n = 106). This showed that non-high grade according to the majority opinion was associated with ER positivity and HER2 negativity (100 and 89% of non-high grade cases, respectively). In conclusion, DCIS grade showed only moderate association using whole slide images scored by nine breast pathologists. As therapeutic decisions and inclusion in ongoing clinical trials are guided by DCIS grade, there is a pressing need to reduce interobserver variability in grading. ER and HER2 might be supportive to prevent the accidental and unwanted inclusion of high-grade DCIS in such trials.

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Which factors influence MRI-pathology concordance of tumour size measurements in breast cancer?

et al. 2015

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Reproducibility of three classification systems of ductal carcinoma in situ of the breast using a web-based survey

Cited by 24 publications

References 23 publications

Training in oncoplastic and reconstructive breast surgery: analysis of training in America and in the European Union with the brazilian reality

Training in oncoplastic and reconstructive breast surgery: analysis of training in America and in the European Union with the brazilian reality

Variability in grading of ductal carcinoma in situ among an international group of pathologists

Which factors influence MRI-pathology concordance of tumour size measurements in breast cancer?

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