Download PDF
Senologie - Zeitschrift für Mammadiagnostik und -therapie 2022; 19(01): 30-32
DOI: 10.1055/a-1750-4134
Gesellschaftsmitteilungen

Die onkoplastische Chirurgie und ihr Stellenwert

› Further Information
Also available at
    Permissions and Reprints

Vor knapp 35 Jahren hat Werner Audretsch in Düsseldorf begonnen, nach größeren Defekten bei brusterhaltender Operation, diese mit Muskellappen zu decken – dies war der Beginn der sogenannten onkoplastischen Chirurgie. Jean Yves Petit und Krishna Clough aus Mailand und Paris sowie Douglas McMillan aus Nottingham und Peter Schrenk aus Linz haben dann vermehrt Techniken der Brustreduktionsplastik dazu verwendet, größere und auch kleinere Defekte zu korrigieren. Da dies alles in einer Operation durchgeführt wurde, haben sich daraus nach Clough 2 verschiedene onkoplastische Techniktypen [1], nach Tübingen mit der Sofortrekonstruktion sogar 4 verschiedene Typen beschreiben lassen [2].



Publication History

Article published online:
09 March 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Clough KB, Lewis JS, Couturaud B. et al. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003; 237: 26-34
    CrossrefPubMedGoogle Scholar
  • 2 Hoffmann J, Wallwiener D. Classifying breast cancer surgery: a novel, complexity-based system for oncological, oncoplastic and reconstructive procedures, and proof of principle by analysis of 1225 operations in 1166 patients. BMC Cancer 2009; 9: 108
    CrossrefPubMedGoogle Scholar
  • 3 Jonczyk MM, Jean J, Graham R. et al. Surgical trends in breast cancer: a rise in novel operative treatment options over a 12 year analysis. Breast Cancer Res Treat 2019; 173: 267-274
    CrossrefPubMedGoogle Scholar
  • 4 Shaitelman SF, Jeruss JS, Pusic AL. Oncoplastic Surgery in the Management of Breast Cancer. J Clin Oncol 2020; 38: 2246-2253
    CrossrefPubMedGoogle Scholar
  • 5 Fitzal F, Bolliger M, Dunkler D. et al. Retrospective, Multicenter Analysis Comparing Conventional with Oncoplastic Breast Conserving Surgery: Oncological and Surgical Outcomes in Women with High-Risk Breast Cancer from the OPBC-01/iTOP2 Study. Ann Surg Oncol 2022; 29: 1061-1070
    CrossrefPubMedGoogle Scholar
  • 6 Losken A, Dugal CS, Styblo TM. et al. A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg 2014; 72: 145-149
    CrossrefPubMedGoogle Scholar
  • 7 De Lorenzi F, Loschi P, Bagnardi V. et al. Oncoplastic Breast-Conserving Surgery for Tumors Larger than 2 Centimeters: Is it Oncologically Safe? A Matched-Cohort Analysis. Ann Surg Oncol 2016; 23: 1852-1859
    CrossrefPubMedGoogle Scholar
  • 8 Andre C, Holsti C, Svenner A. et al. Recurrence and survival after standard versus oncoplastic breast-conserving surgery for breast cancer. BJS Open 2021; 5: zraa013 DOI: 10.1093/bjsopen/zraa013.
    CrossrefPubMedGoogle Scholar
  • 9 Cardoso MJ, Cardoso JS, Wild T. et al. Comparing two objective methods for the esthetic evaluation of breast cancer conservative treatment. Eur J Cancer 2008; 6: 209
    CrossrefPubMedGoogle Scholar
  • 10 Fitzal F, Krois W, Trischler H. et al. The use of a breast symmetry index for objective evaluation of breast cosmesis. Breast 2007; 16: 429-435
    CrossrefPubMedGoogle Scholar
  • 11 Fitzal F, Mittlboeck M, Trischler H. et al. Breast-conserving therapy for centrally located breast cancer. Ann Surg 2008; 247: 470-476
    CrossrefPubMedGoogle Scholar
  • 12 Sinnott CJ, Persing SM, Pronovost M. et al. Impact of Postmastectomy Radiation Therapy in Prepectoral Versus Subpectoral Implant-Based Breast Reconstruction. Ann Surg Oncol 2018; 25: 2899-2908
    CrossrefPubMedGoogle Scholar
  • 13 Weber WP, Morrow M, Boniface J. et al. Knowledge gaps in oncoplastic breast surgery. Lancet Oncol 2020; 21: e375-e385
    CrossrefPubMedGoogle Scholar