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Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy

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dc.contributor.authorGÜLLÜOĞLU, MAHMUT BAHADIR
dc.contributor.authorsWeber W. P., Shaw J., Pusic A., Wyld L., Morrow M., King T., Matrai Z., Heil J., Fitzal F., Potter S., et al.
dc.date.accessioned2023-05-22T08:14:36Z
dc.date.available2023-05-22T08:14:36Z
dc.date.issued2022-06-01
dc.description.abstractAim: 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 recom-mendations 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
dc.identifier.citationWeber W. P., Shaw J., Pusic A., Wyld L., Morrow M., King T., Matrai Z., Heil J., Fitzal F., Potter S., et al., "Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy", BREAST, cilt.63, ss.123-139, 2022
dc.identifier.doi10.1016/j.breast.2022.03.008
dc.identifier.endpage139
dc.identifier.issn0960-9776
dc.identifier.startpage123
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/dbf7c554-0226-4fad-beaf-fff39208be5a/file
dc.identifier.urihttps://hdl.handle.net/11424/289522
dc.identifier.volume63
dc.language.isoeng
dc.relation.ispartofBREAST
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectOnkoloji
dc.subjectCerrahi Tıp Bilimleri
dc.subjectKadın Hastalıkları ve Doğum
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectOncology
dc.subjectSurgery Medicine Sciences
dc.subjectObstetrics and Gynecology
dc.subjectONKOLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectKADIN HASTALIKLARI & DOĞUM
dc.subjectONCOLOGY
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectOBSTETRICS & GYNECOLOGY
dc.subjectDoğum ve Jinekoloji
dc.subjectBreast cancer
dc.subjectPost-mastectomy radiotherapy
dc.subjectNipple-sparing mastectomy
dc.subjectImplant-based breast reconstruction
dc.subjectAutologous breast reconstruction
dc.subjectNIPPLE-SPARING MASTECTOMY
dc.subjectSURGICAL OUTCOMES
dc.subjectINTERNAL MAMMARY
dc.subjectTISSUE EXPANDER
dc.subjectCANCER
dc.subjectRADIOTHERAPY
dc.subjectCOMPLICATIONS
dc.subjectIRRADIATION
dc.subjectCONSENSUS
dc.subjectTRENDS
dc.subjectBreast cancer
dc.subjectPost-mastectomy radiotherapy
dc.subjectNipple-sparing mastectomy
dc.subjectImplant-based breast reconstruction
dc.subjectAutologous breast reconstruction
dc.titleOncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy
dc.typearticle
dspace.entity.typePublication
local.avesis.iddbf7c554-0226-4fad-beaf-fff39208be5a
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
relation.isAuthorOfPublication6d478db0-15a8-4b2b-878f-dc3d1b256022
relation.isAuthorOfPublication.latestForDiscovery6d478db0-15a8-4b2b-878f-dc3d1b256022

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