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ANZ journal of surgery
Sep 10, 2024;

Oncoplastic breast surgery - a pictorial classification system for surgeons and radiation oncologists (OPSURGE).

Matthew Binks, John Boyages, Hiroo Suami, Nicholas Ngui, Farid Meybodi, T Michael Hughes, Senarath Edirimanne
Author Information
  1. Matthew Binks: Division of Surgery, Gosford Hospital, Gosford, New South Wales, Australia. ORCID
  2. John Boyages: School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia. ORCID
  3. Hiroo Suami: Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
  4. Nicholas Ngui: School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia. ORCID
  5. Farid Meybodi: Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia.
  6. T Michael Hughes: School of Medicine and Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.
  7. Senarath Edirimanne: Division of Surgery, Sydney Adventist Hospital, Sydney, New South Wales, Australia. ORCID
PMID: 39254174 DOI: 10.1111/ans.19212

Abstract

INTRODUCTION: Changes to the tumour bed following oncoplastic breast surgery complicate the administration of adjuvant radiotherapy. Consensus guidelines have called for improved interdisciplinary communication to aid adjuvant boost radiotherapy. We propose a framework of tumour bed classification following oncoplastic surgery to enhance understanding and communication between the multidisciplinary breast cancer team and facilitate effective and more precise delivery of adjuvant boost radiotherapy.
METHODS: A classification system was devised by grouping oncoplastic procedures based on skin incision, tissue mobilization, tumour bed distortion, seroma formation and flap reconstruction. The system is supplemented by a colour-coded pictorial guide to tumour bed rearrangement with common oncoplastic procedures.
RESULTS: A 5-tier framework was developed. Representative images were produced to describe tumour bed alterations.
CONCLUSION: The proposed framework (OPSURGE) improves the identification of the primary tumour bed after initial breast-conserving surgery, which is imperative to both the surgeon in planning re-excision and the radiation oncologist in planning boost radiotherapy.

Keywords

boost radiotherapy breast cancer oncoplastic surgery tumour bed

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Journal Article

Word Cloud

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