Please use this identifier to cite or link to this item: https://hdl.handle.net/1/2739
Title: Oncoplastic breast surgery - a pictorial classification system for surgeons and radiation oncologists (OPSURGE)
Authors: Binks, Matthew ;Boyages, John;Suami, Hiroo;Ngui, Nicholas;Meybodi, Farid;Hughes, T Michael;Edirimanne, Senarath
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: 10-Sep-2024
Source: Online ahead of print
Journal title: ANZ Journal of Surgery
Department: General Surgery
Abstract: 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. 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. A 5-tier framework was developed. Representative images were produced to describe tumour bed alterations. 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.
URI: https://hdl.handle.net/1/2739
DOI: 10.1111/ans.19212
Pubmed: https://pubmed.ncbi.nlm.nih.gov/39254174
Publicaton type: Journal Article
Keywords: Surgery
Cancer
Radiotherapy
Appears in Collections:Oncology / Cancer

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