Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature

Esther Jennifer Campbell,1 Laszlo Romics2,3 1Department of Plastic Surgery, Glasgow Royal Infirmary, 2Department of Surgery, New Victoria Hospital Glasgow, 3Department of Academic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK Abstract: Oncoplastic breast conservation surgery (OBCS) is incr...

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Autores principales: Campbell EJ, Romics L
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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Acceso en línea:https://doaj.org/article/d2a4ae61422040b2a5617365ca396415
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spelling oai:doaj.org-article:d2a4ae61422040b2a5617365ca3964152021-12-02T07:57:46ZOncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature1179-1314https://doaj.org/article/d2a4ae61422040b2a5617365ca3964152017-08-01T00:00:00Zhttps://www.dovepress.com/oncological-safety-and-cosmetic-outcomes-in-oncoplastic-breast-conserv-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Esther Jennifer Campbell,1 Laszlo Romics2,3 1Department of Plastic Surgery, Glasgow Royal Infirmary, 2Department of Surgery, New Victoria Hospital Glasgow, 3Department of Academic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK Abstract: Oncoplastic breast conservation surgery (OBCS) is increasingly becoming part of routine breast cancer surgical management. OBCS may be viewed as an extension of standard breast conservation surgery for resecting tumors of larger sizes without compromising on cosmetic outcome, or as an alternative to mastectomy. High quality evidence to support the oncological safety and benefits of OBCS is lacking. This review will focus on the best available level of evidence and address key issues regarding oncological safety in OBCS, such as tumor resection margins and re-excision rates, local recurrence and patient outcome, postoperative complications and adjuvant therapy delivery, and briefly discuss cosmetic outcome in OBCS. Comparative observational studies and systematic review report no poorer outcomes compared with standard breast conservation surgery. More evidence needs to be generated to support the oncological safety and improved aesthetic outcome. Prospective data collection will significantly contribute to the generation of stronger evidence. Keywords: oncoplastic breast conservation surgery, oncological safety, cosmetic outcomes, therapeutic mammoplasty, recurrence, survivalCampbell EJRomics LDove Medical Pressarticleoncoplastic breast conservation surgeryoncological safetycosmetic outcomestherapeutic mammoplastyrecurrencesurvivalNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol Volume 9, Pp 521-530 (2017)
institution DOAJ
collection DOAJ
language EN
topic oncoplastic breast conservation surgery
oncological safety
cosmetic outcomes
therapeutic mammoplasty
recurrence
survival
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle oncoplastic breast conservation surgery
oncological safety
cosmetic outcomes
therapeutic mammoplasty
recurrence
survival
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Campbell EJ
Romics L
Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
description Esther Jennifer Campbell,1 Laszlo Romics2,3 1Department of Plastic Surgery, Glasgow Royal Infirmary, 2Department of Surgery, New Victoria Hospital Glasgow, 3Department of Academic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland, UK Abstract: Oncoplastic breast conservation surgery (OBCS) is increasingly becoming part of routine breast cancer surgical management. OBCS may be viewed as an extension of standard breast conservation surgery for resecting tumors of larger sizes without compromising on cosmetic outcome, or as an alternative to mastectomy. High quality evidence to support the oncological safety and benefits of OBCS is lacking. This review will focus on the best available level of evidence and address key issues regarding oncological safety in OBCS, such as tumor resection margins and re-excision rates, local recurrence and patient outcome, postoperative complications and adjuvant therapy delivery, and briefly discuss cosmetic outcome in OBCS. Comparative observational studies and systematic review report no poorer outcomes compared with standard breast conservation surgery. More evidence needs to be generated to support the oncological safety and improved aesthetic outcome. Prospective data collection will significantly contribute to the generation of stronger evidence. Keywords: oncoplastic breast conservation surgery, oncological safety, cosmetic outcomes, therapeutic mammoplasty, recurrence, survival
format article
author Campbell EJ
Romics L
author_facet Campbell EJ
Romics L
author_sort Campbell EJ
title Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
title_short Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
title_full Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
title_fullStr Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
title_full_unstemmed Oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
title_sort oncological safety and cosmetic outcomes in oncoplastic breast conservation surgery, a review of the best level of evidence literature
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/d2a4ae61422040b2a5617365ca396415
work_keys_str_mv AT campbellej oncologicalsafetyandcosmeticoutcomesinoncoplasticbreastconservationsurgeryareviewofthebestlevelofevidenceliterature
AT romicsl oncologicalsafetyandcosmeticoutcomesinoncoplasticbreastconservationsurgeryareviewofthebestlevelofevidenceliterature
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