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
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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