A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons
A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons
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DOI：
10.1245/s10434-019-07345-4
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发表时间：
2019-10-01
影响因子：
3.7
通讯作者：
Reiland, Julie
中科院分区：
文献类型：
--
作者：
Chatterjee, Abhishek;Gass, Jennifer;Reiland, Julie
背景在文献中已经报道了肿瘤整形手术的几种定义。为了促进与患者、学员和同事之间关于肿瘤整形手术的沟通，美国乳腺外科医师协会（ASBrS）旨在为肿瘤整形手术创建一个共识定义和分类系统。方法：我们使用系统评价和荟萃分析指南的首选报告项目对肿瘤整形手术的定义进行了全面的文献检索。在此之后，ASBrS创建了一个共识定义和分类系统。结果共识别出30篇定义肿瘤整形手术的文章，其中几篇文章相互矛盾。ASBrS对肿瘤整形手术的定义将这组使用体积置换和体积替代原则的保乳手术定义为：“乳房保乳手术，包括肿瘤部分乳房切除术和使用体积置换或体积替代技术的同侧缺损修复术，以及对侧对称手术（视情况而定）”。体积移位定义为闭合乳房肿瘤切除术缺损并在保留乳房上重新分配切除体积，并分为两个水平：水平1（< 20%）和水平2（20-50%）。体积置换包括使用皮瓣或植入物增加体积以纠正部分乳房切除术缺损的情况。结论ASBrS肿瘤整形外科定义和分类系统提供了语言，以促进乳腺外科医生，学员和患者之间的肿瘤整形外科的讨论和教学。
Background Several definitions of oncoplastic surgery have been reported in the literature. In an effort to facilitate communication regarding oncoplastic surgery to patients, trainees, and among colleagues, the American Society of Breast Surgeons (ASBrS) aimed to create a consensus definition and classification system for oncoplastic surgery. Methods We performed a comprehensive literature search for oncoplastic surgery definitions using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Following this, a consensus definition and classification system was created by the ASBrS. Results Overall, 30 articles defining oncoplastic surgery were identified, with several articles contradicting each other. The ASBrS definition for oncoplastic surgery defines this set of breast-conserving operations using volume displacement and volume replacement principles as: "Breast conservation surgery incorporating an oncologic partial mastectomy with ipsilateral defect repair using volume displacement or volume replacement techniques with contralateral symmetry surgery as appropriate". Volume displacement is defined as closing the lumpectomy defect and redistributing the resection volume over the preserved breast, and is divided into two levels: level 1 (< 20%) and level 2 (20-50%). Volume replacement includes those situations when volume is added using flaps or implants to correct the partial mastectomy defect. Conclusion The ASBrS oncoplastic surgery definition and classification system provides language to facilitate discussion and teaching of oncoplastic surgery among breast surgeons, trainees, and patients.