Download PDF
Senologie - Zeitschrift für Mammadiagnostik und -therapie 2021; 18(01): 33-35
DOI: 10.1055/a-1367-3823
Aktuell diskutiert

Single incision for oncologic breast conserving surgery and sentinel node biopsy- another de-escalation strategy in breast surgery?

Bich Doan Nguyen-Sträuli
  Department of Gynecology, Comprehensive Cancer Center, Breast Cancer Unit, University Hospital of Zurich, Switzerland
,
Denise Vorburger
  Department of Gynecology, Comprehensive Cancer Center, Breast Cancer Unit, University Hospital of Zurich, Switzerland
,
Konstantin Johannes Dedes
  Department of Gynecology, Comprehensive Cancer Center, Breast Cancer Unit, University Hospital of Zurich, Switzerland
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Breast-conserving therapy (BCT) has become the standard of care for the vast majority of patients with early breast cancer [1]. A regular approach are two independent incisions for the breast tumor and the sentinel lymph node (SLN). Despite preserving oncological safety, breast surgery has become progressively less radical in favor of improved cosmetic outcome and minimal functional deficiency over time [2]. Oncoplastic breast conserving surgery (OPS) has been widely promoted to achieve improvements in aesthetic outcome [3] [4].



Publication History

Article published online:
10 March 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Veronesi U, Cascinelli N, Mariani L. et al Twenty-Year Follow-up of a Randomized Study Comparing Breast-Conserving Surgery with Radical Mastectomy for Early Breast Cancer. New England Journal of Medicine 2002; 347 (16) 1227-1232 . doi:10.1056/NEJMoa020989
    CrossrefPubMedGoogle Scholar
  • 2 Veronesi U, Banfi A, Salvadori B. et al. Breast conservation is the treatment of choice in small breast cancer: Long-term results of a randomized trial. European Journal of Cancer and Clinical Oncology 1990; DOI: 10.1016/0277-5379(90)90113-8.
    CrossrefPubMedGoogle Scholar
  • 3 Weber WP, Soysal SD, Fulco I. et al. Standardization of oncoplastic breast conserving surgery. European Journal of Surgical Oncology 2017; 43 (07) DOI: 10.1016/j.ejso.2017.01.006.
    CrossrefPubMedGoogle Scholar
  • 4 Weber WP, Soysal SD, Zeindler J. et al. Current standards in oncoplastic breast conserving surgery. Breast 2017; 34 DOI: 10.1016/j.breast.2017.06.033.
    CrossrefPubMedGoogle Scholar
  • 5 Spillane AJ, Brennan ME. Minimal access breast surgery – A single breast incision for breast conservation surgery and sentinel lymph node biopsy. European Journal of Surgical Oncology 2009; DOI: 10.1016/j.ejso.2008.07.009.
    CrossrefPubMedGoogle Scholar
  • 6 Acea-Nebril B, García-Novoa A, Cereijo-Garea C. et al. Single-Incision Approach for Breast-Conserving Surgery: Effectiveness, Complications and Quality of Life. Annals of Surgical Oncology 2019; DOI: 10.1245/s10434-019-07443-3.
    CrossrefPubMedGoogle Scholar
  • 7 Lovasik BP, Seidel RL, Novello M. et al Single incision for oncologic breast conserving surgery and sentinel node biopsy in early stage breast cancer: A minimally invasive approach. The Breast Journal 2019; 25 (01) 41-46 . doi:10.1111/tbj.13158
    CrossrefPubMedGoogle Scholar
  • 8 Bromberg SE, Giordano R. Prime Incision and Modified Moving Window: A Minimally Invasive Access for Breast Cancer Surgical Treatment. World journal of plastic surgery 2016; 5 (03) 252-258
    PubMedGoogle Scholar
  • 9 Cocilovo C, Boolbol SK, Valdes E. et al. Less is more: transmammary axillary lymph node evaluation: an initial clinical experience. American Journal of Surgery 2006; DOI: 10.1016/j.amjsurg.2006.06.025.
    CrossrefPubMedGoogle Scholar
  • 10 Clough KB, Kaufman GJ, Nos C. et al. Improving breast cancer surgery: A classification and quadrant per quadrant atlas for oncoplastic surgery. Annals of Surgical Oncology 2010; DOI: 10.1245/s10434-009-0792-y.
    CrossrefPubMedGoogle Scholar