Oncoplastic breast surgery - a pictorial classification system for surgeons and radiation oncologists (OPSURGE).

Autor: Binks M; Division of Surgery, Gosford Hospital, Gosford, New South Wales, Australia., Boyages J; School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.; Radiation Oncology, Icon Cancer Centre, Sydney, New South Wales, Australia., Suami H; Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia., Ngui N; School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.; Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia., Meybodi F; Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia., Hughes TM; School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.; Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia., Edirimanne S; Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia.; Nepean Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Jazyk: angličtina
Zdroj: ANZ journal of surgery [ANZ J Surg] 2024 Sep 10. Date of Electronic Publication: 2024 Sep 10.
DOI: 10.1111/ans.19212
Abstrakt: Introduction: Changes to the tumour bed following oncoplastic breast surgery complicate the administration of adjuvant radiotherapy. Consensus guidelines have called for improved interdisciplinary communication to aid adjuvant boost radiotherapy. We propose a framework of tumour bed classification following oncoplastic surgery to enhance understanding and communication between the multidisciplinary breast cancer team and facilitate effective and more precise delivery of adjuvant boost radiotherapy.
Methods: A classification system was devised by grouping oncoplastic procedures based on skin incision, tissue mobilization, tumour bed distortion, seroma formation and flap reconstruction. The system is supplemented by a colour-coded pictorial guide to tumour bed rearrangement with common oncoplastic procedures.
Results: A 5-tier framework was developed. Representative images were produced to describe tumour bed alterations.
Conclusion: The proposed framework (OPSURGE) improves the identification of the primary tumour bed after initial breast-conserving surgery, which is imperative to both the surgeon in planning re-excision and the radiation oncologist in planning boost radiotherapy.
(© 2024 The Author(s). ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons.)
Databáze: MEDLINE
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