Cirurgia oncoplástica e reconstrutiva da mama: reunião de consenso da Sociedade Brasileira de Mastologia
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Data
2015
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Resumo
Objective: Despite the large number of publications in oncoplastic and breast reconstructive surgery,
several issues remain controversial. The aim of this Consensus Meeting was to develop a practical guide
of recommendations based on the best evidence in the literature. Method: All panelists were members
of the Oncoplastic Commission of the Brazilian Society of Mastology. The Consensus Meeting was held
in Bento Gonçalves (RS), in August 2015. Each panelist received and answered a questionnaire with
46 items, based on the best evidence in the literature and in their expertise. It was considered consensus
the agreement of 75% between panelists. Results: There was consensus on 25 items, of which eight
were for 100% agreement. The most important of these topics were: involvement of the margins in
oncoplastic surgery can be solved by resection of margins in most cases; multifocal tumors is not a con-
traindication for oncoplastic surgery; age >70 years is not a contraindication for use of oncoplastic tech-
niques; immediate reconstruction can be performed safely to most candidates for mastectomy; patients
for post-mastectomy radiotherapy may be subject to immediate reconstruction and should be aware of
the risks for poor aesthetic result; mastectomy with preservation of the nipple and areola complex is safe
in cancer; radiotherapy after mastectomy with preservation of the nipple and areola complex is not
indicated outside the classical criteria of irradiation chest wall; abdominal mash reduces chances of
hernia in TRAM flaps. Conclusion: In this meeting it was possible to establish important consensus
points according to the opinion of experts, which can help breast surgeons in their decision-making in
oncoplastic and reconstructive surgery of the breast.
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Palavras-chave
Neoplasias da mama, Brasil, Câncer de mama, Reconstrução da mama, Consenso, Breast neoplasms, Breast cancer, Brazil, Breast reconstruction, Consensus
Citação
URBAN, Cicero et al. Cirurgia oncoplástica e reconstrutiva da mama: reunião de consenso da Sociedade Brasileira de Mastologia. Revista Brasileira de Mastologia, Rio de Janeiro, v. 25, n. 4, p. 118-124, 2015.