Breast Cancer Research and Treatment

, Volume 165, Issue 1, pp 139–149 | Cite as

First international consensus conference on standardization of oncoplastic breast conserving surgery

  • Walter P. WeberEmail author
  • Savas D. Soysal
  • Mahmoud El-Tamer
  • Virgilio Sacchini
  • Michael Knauer
  • Christoph Tausch
  • Nik Hauser
  • Andreas Günthert
  • Yves Harder
  • Elisabeth A. Kappos
  • Fabienne Schwab
  • Florian Fitzal
  • Peter Dubsky
  • Vesna Bjelic-Radisic
  • Roland Reitsamer
  • Rupert Koller
  • Jörg Heil
  • Markus Hahn
  • Jens-Uwe Blohmer
  • Jürgen Hoffmann
  • Christine Solbach
  • Christoph Heitmann
  • Bernd Gerber
  • Martin Haug
  • Christian Kurzeder
Clinical trial



To obtain consensus recommendations for the standardization of oncoplastic breast conserving surgery (OPS) from an international panel of experts in breast surgery including delegates from the German, Austrian and Swiss societies of senology.


A total of 52 questions were addressed by electronic voting. The panel’s recommendations were put into context with current evidence and the report was circled in an iterative open email process until consensus was obtained.


The panelists considered OPS safe and effective for improving aesthetic outcomes and broadening the indication for breast conserving surgery (BCS) towards larger tumors. A slim majority believed that OPS reduces the rate of positive margins; however, there was consensus that OPS is associated with an increased risk of complications compared to conventional BCS. The panel strongly endorsed patient-reported outcomes measurement, and recommended selected scales of the Breast-Q™-Breast Conserving Therapy Module for that purpose. The Clough bi-level classification was recommended for standard use in clinical practice for indicating, planning and performing OPS, and the Hoffmann classification for surgical reports and billing purposes. Mastopexy and reduction mammoplasty were the only two recognized OPS procedure categories supported by a majority of the panel. Finally, the experts unanimously supported the statement that every OPS procedure should be tailored to each individual patient.


When implemented into clinical practice, the panel recommendations may improve safety and effectiveness of OPS. The attendees agreed that there is a need for prospective multicenter studies to optimize patient selection and for standardized criteria to qualify and accredit OPS training centers.


Oncoplastic surgery Breast conserving surgery Breast surgery Breast cancer 



No commercial funding was received for this conference.

Compliance with ethical standards

Conflict of interest

Author Florian Fitzal invented the Breast Analyzing Tool (BAT) for symmetry measurements in breast surgery. Walter P. Weber, Savas D. Soysal, Mahmoud El-Tamer, Virgilio Sacchini, Michael Knauer, Christoph Tausch, Nik Hauser, Andreas Günthert, Yves Harder, Elisabeth A Kappos, Fabienne Schwab, Peter Dubsky, Vesna Bjelic-Radisic, Roland Reitsamer, Rupert Koller, Jörg Heil, Markus Hahn, Jens-Uwe Blohmer, Jürgen Hoffmann, Christine Solbach, Christoph Heitmann, Bernd Gerber, Martin Haug, Christian Kurzeder declare that they have no conflict of interest in the context of this publication.

Supplementary material

10549_2017_4314_MOESM1_ESM.docx (13 kb)
Supplementary material 1 (DOCX 13 kb)
10549_2017_4314_MOESM2_ESM.docx (45 kb)
Supplementary material 2 (DOCX 45 kb)


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Walter P. Weber
    • 1
    Email author
  • Savas D. Soysal
    • 1
  • Mahmoud El-Tamer
    • 3
  • Virgilio Sacchini
    • 3
  • Michael Knauer
    • 2
  • Christoph Tausch
    • 7
  • Nik Hauser
    • 8
  • Andreas Günthert
    • 9
  • Yves Harder
    • 10
  • Elisabeth A. Kappos
    • 1
  • Fabienne Schwab
    • 1
  • Florian Fitzal
    • 6
  • Peter Dubsky
    • 5
    • 6
  • Vesna Bjelic-Radisic
    • 16
  • Roland Reitsamer
    • 18
  • Rupert Koller
    • 19
  • Jörg Heil
    • 11
  • Markus Hahn
    • 13
  • Jens-Uwe Blohmer
    • 4
  • Jürgen Hoffmann
    • 15
  • Christine Solbach
    • 12
  • Christoph Heitmann
    • 17
  • Bernd Gerber
    • 14
  • Martin Haug
    • 1
  • Christian Kurzeder
    • 1
  1. 1.Breast CenterUniversity Hospital BaselBaselSwitzerland
  2. 2.Breast Center St. GallenSt. GallenSwitzerland
  3. 3.Memorial Sloan Kettering Cancer CenterNew YorkUSA
  4. 4.Gynecology with Breast CenterCharité Universitätsmedizin BerlinBerlinGermany
  5. 5.Breast CenterHirslanden Klinik St. AnnaLucerneSwitzerland
  6. 6.Department of Surgery and Comprehensive Cancer Center ViennaMedical University ViennaViennaAustria
  7. 7.Breast-Center ZurichZurichSwitzerland
  8. 8.Breast Center Hirslanden Clinics Aarau Cham Zug and frauenarztzentrum aargau agBadenSwitzerland
  9. 9.Department of Obstetrics and GynecologyCantonal Hospital of LucerneLucerneSwitzerland
  10. 10.Division of Plastic, Reconstructive and Aesthetic Surgery, Ospedale Regionale di Lugano (ORL), Breast Centre of Switzerland (CSSI)Ente Ospedaliero Cantonale (EOC)LuganoSwitzerland
  11. 11.Universitäts-BrustzentrumUniversitäts-FrauenklinikHeidelbergGermany
  12. 12.Breast CenterUniversity Hospital FrankfurtFrankfurtGermany
  13. 13.Department of Women’s HealthUniversity Breast Center TubingenTübingenGermany
  14. 14.Breast Surgery Unit at the Department of Ob/GynUniversity Hospital RostockRostockGermany
  15. 15.Breast CenterUniversity Hospital DüsseldorfDüsseldorfGermany
  16. 16.Department of GynecologyMedical Univerisity GrazGrazAustria
  17. 17.Breast Center at the English GardenMunichGermany
  18. 18.Breast Center Salzburg, University Clinic SalzburgParacelsus Medical University SalzburgSalzburgAustria
  19. 19.Plastische, Ästhetische und Rekonstruktive ChirurgieViennaAustria

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