Current standards in oncoplastic breast conserving surgery
Current standards in oncoplastic breast conserving surgery
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DOI：
10.1016/j.breast.2017.06.033
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发表时间：
2017-08-01
期刊：
影响因子：
3.9
通讯作者：
Haug, Martin
中科院分区：
文献类型：
--
作者：
Weber, Walter P.;Soysal, Savas D.;Haug, Martin
保乳手术越来越多地用于治疗乳腺癌患者。在缺乏随机数据的情况下，大量的观察证据一致表明，低复发率和高存活率，但与传统的保乳手术相比，其并发症发生率更高。肿瘤整形保乳手术的既定目标是将保乳手术的适应症扩大到更大的肿瘤，并改善美容效果。然而，从患者的角度来看，益处在很大程度上仍有待证实。为了在临床研究和实践中实施保乳手术，对保乳手术的各个方面进行规范的需求日益增长。已经提出了几种分类系统和结果衡量工具，但到目前为止，它们都没有得到国际认可。(C) 2017 Elsevier Ltd.版权所有。
Oncoplastic breast conserving surgery is increasingly used to treat patients with breast cancer. In the absence of randomized data, a large body of observational evidence consistently indicates low rates of recurrence and high rates of survival, but points to a higher rate of complications compared to conventional breast conserving surgery. Established goals of oncoplastic breast conserving surgery are to broaden the indication for breast conservation towards larger tumors, and to improve esthetic outcomes. The benefit from the patient's perspective, however, remains largely to be confirmed. There is a growing demand to standardize various aspects of oncoplastic breast conserving surgery for implementation in clinical research and practice. Several classification systems and outcomes measurement tools have been proposed, but to the present day, none of them has achieved international acceptance. (C) 2017 Elsevier Ltd. All rights reserved.