A multidisciplinary view of mastectomy and breast reconstruction : understanding the challenges
Autor: | Thorsten Kühn, Birgitte Vrou Offersen, Zoltan Matrai, Orit Kaidar-Person, Oreste Gentilini, Liesbeth J. Boersma, Dirk De Ruysscher, Trine Tramm, Philip Poortmans |
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Přispěvatelé: | Radiotherapie, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Mammaplasty medicine.medical_treatment Planning target volume LOCAL RECURRENCE Breast Neoplasms Review lcsh:RC254-282 POSTMASTECTOMY RADIATION-THERAPY 03 medical and health sciences IMMEDIATE RECONSTRUCTION Breast cancer 0302 clinical medicine Multidisciplinary approach SKIN-SPARING MASTECTOMY Humans Medicine Medical physics 030212 general & internal medicine Skin sparing skin and connective tissue diseases TARGET VOLUME DELINEATION Mastectomy Radiation business.industry 20-YEAR FOLLOW-UP NIPPLE Postmastectomy irradiation General Medicine lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease CANCER Radiation therapy Nipple sparing Nipples 030220 oncology & carcinogenesis Female Surgery Human medicine Neoplasm Recurrence Local Reconstruction ESTRO CONSENSUS GUIDELINE business Breast reconstruction RADIOTHERAPY |
Zdroj: | The Breast Breast, Vol 56, Iss, Pp 42-52 (2021) Kaidar-Person, O, Offersen, B V, Boersma, L J, de Ruysscher, D, Tramm, T, Kühn, T, Gentilini, O, Mátrai, Z & Poortmans, P 2021, ' A multidisciplinary view of mastectomy and breast reconstruction : Understanding the challenges ', Breast, vol. 56, pp. 42-52 . https://doi.org/10.1016/j.breast.2021.02.004 The Breast : Official Journal of the European Society of Mastology Breast, 56, 42-52. Churchill Livingstone |
ISSN: | 0960-9776 |
Popis: | The current review paper was written in collaboration with breast cancer surgeons from the European Breast Cancer Research Association of Surgical Trialists (EUBREAST), a breast pathologist from the Danish Breast Cancer Group (DBCG), and representatives from the European SocieTy for Radiotherapy & Oncology (ESTRO) breast cancer course. Herein we summarize the different mastectomies and reconstruction procedures and define high-risk anatomical areas for breast cancer recurrences, to further specify the challenges in the surgical procedure, histopathological evaluation, and target volumes in case of postmastectomy irradiation, as recommended by the ESTRO guidelines according to the surgical procedure. The paper has original figures and illustrations for all disciplines for in-depth understanding of the differences between the procedures. Highlights • Mastectomy techniques and reconstruction evolved to improve cosmetic outcomes. • Different techniques maybe associated with different amount of residual breast tissue. • More data is needed to estimate who are the patients at risk for residual disease or recurrence. • Multidisciplinary work needed to individualise treatment for optimal oncological outcomes while maintaining the significant improvements in achieving better cosmesis for these patients. |
Databáze: | OpenAIRE |
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