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Past
Interest in oncoplastic surgery is increasing among breast surgeons.1 Based on a comprehensive literature review, several definitions exist for oncoplastic surgery,2 confusing breast surgeons, surgical trainees, and patients with regard to the exact meaning of the term ‘oncoplastic surgery’. Additionally, some of these definitions contradict each other. The goal of our article3 was to create a consensus definition and classification system for oncoplastic surgery that could be best clinically applied when discussing surgical options with patients or training students.
Present
The American Society of Breast Surgeons consensus definition of oncoplastic surgery is “A form of breast-conservation surgery that includes oncologic resection with a partial mastectomy, ipsilateral reconstruction using volume displacement or volume replacement techniques with possible contralateral symmetry surgery when appropriate”.3 The classification system further divided oncoplastic surgery into Level 1 and Level 2 volume displacement operations in addition to volume replacement operations for the appropriately sized breast partial mastectomy defects. This definition and classification system was perceived as the most inclusive, and simple to teach and explain, making it clinically applicable for patient care and education.
Future
Using this definition and classification system, a common language can be used among breast surgeons practicing oncoplastic surgery with regard to explaining the oncoplastic operation of choice to their patients and with regard to training students interested in learning oncoplastic surgery.
References
Chatterjee A, Gass J, Burke MB, Kopkash K, El-Tamer MB, Holmes DR, et al. Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 Survey: Current Practice and Future Directions. Ann Surg Oncol. 2018;25(10):2790–4.
Weber WP, Soysal SD, El-Tamer M, Sacchini V, Knauer M, Tausch C, et al. First international consensus conference on standardization of oncoplastic breast conserving surgery. Breast Cancer Res Treat. 2017;165(1):139–49.
Chatterjee A, Gass J, Patel K, et al. A consensus definition and classification system of oncoplastic surgery developed by the American Society of Breast Surgeons. Ann Surg Oncol. 2019. https://doi.org/10.1245/s10434-019-07345-4. (Epub 11 Apr 2019).
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ASO Author Reflections is a brief invited commentary on the article “A Consensus Definition and Classification System of Oncoplastic Surgery Developed by the American Society of Breast Surgeons”, Ann Surg Oncol. Epub 11 Apr 2019. https://doi.org/10.1245/s10434-019-07345-4.
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Chatterjee, A., Reiland, J. ASO Author Reflections: The American Society of Breast Surgeons Definition of Oncoplastic Surgery. Ann Surg Oncol 26, 3445 (2019). https://doi.org/10.1245/s10434-019-07715-y
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DOI: https://doi.org/10.1245/s10434-019-07715-y