Current Practice of Therapeutic Mammaplasty: A Survey of Oncoplastic Breast Surgeons in England
Joint Authors
Aggarwal, Shweta
Marla, Sekhar
Nyanhongo, Donald
Kotecha, Sita
Basu, Narendra Nath
Source
International Journal of Surgical Oncology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-03-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Therapeutic mammaplasty (TM) is a useful technique in the armamentarium of the oncoplastic breast surgeon (OBS).
There is limited guidance on patient selection, technique, coding, and management of involved margins.
The practices of OBS in England remain unknown.
Methods.
Questionnaires were sent to all OBS involved with the Training Interface Group.
We assessed the number of TM cases performed per surgeon, criteria for patient selection, pedicle preference, contralateral symmetrisation, use of routine preoperative MRI, management of involved margins, and clinical coding.
Results.
We had an overall response rate of 43%.
The most common skin resection technique utilised was wise pattern followed by vertical scar.
Superior-medial pedicle was preferred by the majority of surgeons (62%) followed by inferior pedicle (34%).
Twenty percent of surgeons would always proceed to a mastectomy following an involved margin, whereas the majority would offer reexcision based on several parameters.
The main absolute contraindication to TM was tumour to breast ratio >50%.
One in five surgeons would not perform TM in smokers and patients with multifocal disease.
Discussion.
There is a wide variation in the practice of TM amongst OBS.
Further research and guidance would be useful to standardise practice, particularly management of involved margins and coding for optimal reimbursement.
American Psychological Association (APA)
Aggarwal, Shweta& Marla, Sekhar& Nyanhongo, Donald& Kotecha, Sita& Basu, Narendra Nath. 2016. Current Practice of Therapeutic Mammaplasty: A Survey of Oncoplastic Breast Surgeons in England. International Journal of Surgical Oncology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107072
Modern Language Association (MLA)
Aggarwal, Shweta…[et al.]. Current Practice of Therapeutic Mammaplasty: A Survey of Oncoplastic Breast Surgeons in England. International Journal of Surgical Oncology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1107072
American Medical Association (AMA)
Aggarwal, Shweta& Marla, Sekhar& Nyanhongo, Donald& Kotecha, Sita& Basu, Narendra Nath. Current Practice of Therapeutic Mammaplasty: A Survey of Oncoplastic Breast Surgeons in England. International Journal of Surgical Oncology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1107072
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1107072