National Consensus on Oncoplastic Breast Conserving Surgery in Turkey: Position Paper for the Standardization of Surgical Practice
1Izmir Tepecik Education And Research Hospital, General Surgery, İzmir, Turkey
2Izmir Provincial Health Directorate, Health Directorate, İzmir, Turkey
3Marmara University School Of Medicine, Breast Surgery, Istanbul , Turkey
Objective: The algorithms that define most of the application of oncoplastic breast conserving surgery (OBCS) in breast cancer patients are not clearly defined. Therefore, a consensus survey was conducted between the leading and experienced breast surgeons and oncoplastic breast surgeons in Turkey on the controversial areas of oncoplastic breast surgery.
Material and Methods: This consensus survey was carried out on-line through the Consensus software program (www.consensuss.com) under the roof of Turkish Federation of National Societies for Breast Diseases (TFNSBD). After finalizing each proposition, web-based remote access consensus process was performed on the Likert scale using Delphi method with the Consensus (www.consensuss.com) software program. Through the related software, an invitation was sent to 111 people who had at least 5 years of general surgery expertise in Turkey, and who devoted more than 50% of their daily clinical practice to the treatment and surgery of breast diseases.
Results: Sixty-two out of 111 people accepted to participate in the panel and made an on-line evaluation. According to the consensus results; Lumpectomy area should be done by placing the clips on at least four walls of the cavity, if the margin of the tumor is clear in central tumors, the distance between the tumor and the nipple is not significantly important, oncoplastic techniques may be used in patients with locally advanced breast cancer after neoadjuvant chemotherapy, in patients who have macromastia with ductal carcinoma in situ or breast cancer, OBCS techniques can be performed, and OBCS should be evaluated in terms of breast aesthetics. After OBCS, re-excision can be performed at a re-do setting in cases with involved surgical margins.
Conclusion: Our consensus results may provide a basis for the development of some standards in OBCS.
Keywords: oncoplastic breast conserving surgery, standardization, consensus
Concept - M.E., B.M.G., M.B.Ö., C.K.; Design - M.E., B.M.G.; Supervision - M.E., B.M.G.; Data Collection and/or Processing - C.K., M.B.Ö., Analysis and Interpretation - M.E., B.M.G.; Literature Review - M.E., C.K.; Writing Manuscript - M.E., B.M.G., C.K.; Critical Reviews - B.M.G., M.B.Ö.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.