Der Stellenwert der onkoplastischen Brustrekonstruktion nach Tumorektomie in der chirurgischen Brustkrebs-Behandlung

Zusammenfassung

Brusterhaltende Therapie (BET), also Tumorektomie in Kom- bination mit systemischer Therapie und lokoregionärer Be- strahlung hat sich als bevorzugte Behandlungsmethode bei Brustkrebs im Frühstadium etabliert. Insgesamt exzellente Raten für Rezidiv-freies Überleben und Langzeitüberleben haben dazu geführt, dass Brustchirurgen heute dauerhafte und ästhetisch ansprechende Ergebnisse liefern müssen, um den hohen Patientenansprüchen gerecht zu werden. Die onkoplastische Brustchirurgie (OPBC) ist hierbei ein innovativer Ansatz, um das Indikationenspektrum der BET zu erweitern, beziehungsweise deren Gesamtergebnisse zu verbessern. Meist von einem Team aus einem plastischen Chirurgen und einem Gynäkologen oder onkologischen Brustchirurgen durchgeführt, kann OPBC Brustdeformitäten aktiv vorbeugen, ohne dabei die onkologische Sicherheit zu gefährden. Aufgrund der stetig wachsenden Bedeutsamkeit der OPBC soll die vorliegende Übersichtsarbeit einen Einblick in ihre Grundprinzipien geben, sowie deren Vor- und Nachteile diskutieren, um diese in den Kontext der rekonstruktiven Brustchirurgie einzuordnen.

Abstract

Breast-conserving therapy (BCT), meaning tumorectomy in combination with systemic therapy and locoregional radiation therapy has become the preferred method to treat early-stage breast cancer. With excellent long-term recurrence-free and overall survival rates, breast surgeons today must deliver du- rable and aesthetically appealing results that guarantee a good quality of life to meet the high patient expectations. Oncoplas- tic breast surgery (OPBS) is an innovative approach to improve the overall results of BCT. Often carried out by a team of a plastic surgeon and an oncologic breast surgeon, OPBS can actively prevent breast deformities without compromising oncological safety. In the following, an overview of the principles and techniques of oncoplastic breast surgery will be given due to its ever-increasing significance and its advantages and dis- advantages will be discussed in the context of reconstructive breast surgery.

Schlüsselwörter

Brustrekonstruktion - Brustkrebs - onkoplastische Brustchirurgie - brusterhaltende Therapie

Key words

breast reconstruction - breast cancer - oncoplastic breast surgery - breast conserving therapy

Publication History

Received: 06 December 2021

Accepted: 02 January 2022

Article published online:
09 August 2022

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