Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy
Weber, Walter Paul; Shaw, Jane; Pusic, Andrea; Wyld, Lynda; Morrow, Monica; King, Tari; Mátrai, Zoltán; Heil, Jörg; Fitzal, Florian; Potter, Shelley; Rubio, Isabel T.; Cardoso, Maria Joao; Gentilini, Oreste Davide; Galimberti, Viviana; Sacchini, Virgilio; Rutgers, Emiel J.T.; Benson, John; Allweis, Tanir M.; Haug, Martin; Paulinelli, Regis R.; Kovacs, Tibor; Harder, Yves; Gulluoglu, Bahadir M.; Gonzalez, Eduardo; Faridi, Andree; Elder, Elisabeth; Dubsky, Peter; Blohmer, Jens Uwe; Bjelic-Radisic, Vesna; Barry, Mitchel; Hay, Susanne Dieroff; Bowles, Kimberly; French, James; Reitsamer, Roland; Koller, Rupert; Schrenk, Peter; Kauer-Dorner, Daniela; Biazus, Jorge; Brenelli, Fabricio; Letzkus, Jaime; Saccilotto, Ramon; Joukainen, Sarianna; Kauhanen, Susanna; Karhunen-Enckell, Ulla; Hoffmann, Juergen; Kneser, Ulrich; Kühn, Thorsten; Kontos, Michalis; Tampaki, Ekaterini Christina; Carmon, Moshe; Hadar, Tal; Catanuto, Giuseppe; Garcia-Etienne, Carlos A.; Koppert, Linetta; Gouveia, Pedro F.; Lagergren, Jakob; Svensjö, Tor; Maggi, Nadia; Kappos, Elisabeth A.; Schwab, Fabienne D.; Castrezana, Liliana; Steffens, Daniel; Krol, Janna; Tausch, Christoph; Günthert, Andreas; Knauer, Michael; Katapodi, Maria C.; Bucher, Susanne; Hauser, Nik; Kurzeder, Christian; Mucklow, Rosine; Tsoutsou, Pelagia G.; Sezer, Atakan; Çakmak, Güldeniz Karadeniz; Karanlik, Hasan; Fairbrother, Patricia; Romics, Laszlo; Montagna, Giacomo; Urban, Cicero; Walker, Melanie; Formenti, Silvia C.; Gruber, Guenther; Zimmermann, Frank; Zwahlen, Daniel Rudolf; Kuemmel, Sherko; El-Tamer, Mahmoud; Vrancken Peeters, Marie Jeanne; Kaidar-Person, Orit; Gnant, Michael; Poortmans, Philip; de Boniface, Jana (2022-06)
Weber, Walter Paul
Shaw, Jane
Pusic, Andrea
Wyld, Lynda
Morrow, Monica
King, Tari
Mátrai, Zoltán
Heil, Jörg
Fitzal, Florian
Potter, Shelley
Rubio, Isabel T.
Cardoso, Maria Joao
Gentilini, Oreste Davide
Galimberti, Viviana
Sacchini, Virgilio
Rutgers, Emiel J.T.
Benson, John
Allweis, Tanir M.
Haug, Martin
Paulinelli, Regis R.
Kovacs, Tibor
Harder, Yves
Gulluoglu, Bahadir M.
Gonzalez, Eduardo
Faridi, Andree
Elder, Elisabeth
Dubsky, Peter
Blohmer, Jens Uwe
Bjelic-Radisic, Vesna
Barry, Mitchel
Hay, Susanne Dieroff
Bowles, Kimberly
French, James
Reitsamer, Roland
Koller, Rupert
Schrenk, Peter
Kauer-Dorner, Daniela
Biazus, Jorge
Brenelli, Fabricio
Letzkus, Jaime
Saccilotto, Ramon
Joukainen, Sarianna
Kauhanen, Susanna
Karhunen-Enckell, Ulla
Hoffmann, Juergen
Kneser, Ulrich
Kühn, Thorsten
Kontos, Michalis
Tampaki, Ekaterini Christina
Carmon, Moshe
Hadar, Tal
Catanuto, Giuseppe
Garcia-Etienne, Carlos A.
Koppert, Linetta
Gouveia, Pedro F.
Lagergren, Jakob
Svensjö, Tor
Maggi, Nadia
Kappos, Elisabeth A.
Schwab, Fabienne D.
Castrezana, Liliana
Steffens, Daniel
Krol, Janna
Tausch, Christoph
Günthert, Andreas
Knauer, Michael
Katapodi, Maria C.
Bucher, Susanne
Hauser, Nik
Kurzeder, Christian
Mucklow, Rosine
Tsoutsou, Pelagia G.
Sezer, Atakan
Çakmak, Güldeniz Karadeniz
Karanlik, Hasan
Fairbrother, Patricia
Romics, Laszlo
Montagna, Giacomo
Urban, Cicero
Walker, Melanie
Formenti, Silvia C.
Gruber, Guenther
Zimmermann, Frank
Zwahlen, Daniel Rudolf
Kuemmel, Sherko
El-Tamer, Mahmoud
Vrancken Peeters, Marie Jeanne
Kaidar-Person, Orit
Gnant, Michael
Poortmans, Philip
de Boniface, Jana
06 / 2022
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:tuni-202206065515
https://urn.fi/URN:NBN:fi:tuni-202206065515
Kuvaus
Peer reviewed
Tiivistelmä
Aim: Demand for nipple- and skin- sparing mastectomy (NSM/SSM) with immediate breast reconstruction (BR) has increased at the same time as indications for post-mastectomy radiation therapy (PMRT) have broadened. The aim of the Oncoplastic Breast Consortium initiative was to address relevant questions arising with this clinically challenging scenario. Methods: A large global panel of oncologic, oncoplastic and reconstructive breast surgeons, patient advocates and radiation oncologists developed recommendations for clinical practice in an iterative process based on the principles of Delphi methodology. Results: The panel agreed that surgical technique for NSM/SSM should not be formally modified when PMRT is planned with preference for autologous over implant-based BR due to lower risk of long-term complications and support for immediate and delayed-immediate reconstructive approaches. Nevertheless, it was strongly believed that PMRT is not an absolute contraindication for implant-based or other types of BR, but no specific recommendations regarding implant positioning, use of mesh or timing were made due to absence of high-quality evidence. The panel endorsed use of patient-reported outcomes in clinical practice. It was acknowledged that the shape and size of reconstructed breasts can hinder radiotherapy planning and attention to details of PMRT techniques is important in determining aesthetic outcomes after immediate BR. Conclusions: The panel endorsed the need for prospective, ideally randomised phase III studies and for surgical and radiation oncology teams to work together for determination of optimal sequencing and techniques for PMRT for each patient in the context of BR
Kokoelmat
- TUNICRIS-julkaisut [19293]