Banys-Paluchowski, Maggie, Thill, Marc, Kuhn, Thorsten, Ditsch, Nina, Heil, Jorg, Woeckel, Achim, Fallenberg, Eva, Friedrich, Michael, Kuemmel, Sherko, Mueller, Volkmar, Janni, Wolfgang, Albert, Ute-Susann, Bauerfeind, Ingo, Blohmer, Jens-Uwe, Budach, Wilfried, Dall, Peter, Fasching, Peter, Fehm, Tanja, Gluz, Oleg, Harbeck, Nadia, Huober, Jens, Jackisch, Christian, Kolberg-Liedtke, Cornelia, Kreipe, Hans H., Krug, David, Loibl, Sibylle, Lueftner, Diana, Lux, Michael Patrick, Maass, Nicolai, Mundhenke, Christoph, Nitz, Ulrike, Park-Simon, Tjoung Won, Reimer, Toralf, Rhiem, Kerstin, Rody, Achim, Schmidt, Marcus ORCID: 0000-0003-1365-2414, Schneeweiss, Andreas, Schuetz, Florian, Sinn, H. Peter, Solbach, Christine, Solomayer, Erich-Franz, Stickeler, Elmar, Thomssen, Christoph, Untch, Michael, Witzel, Isabell and Gerber, Bernd (2022). AGO Recommendations for the Surgical Therapy of Breast Cancer: Update 2022. Geburtshilfe Frauenheilkd., 82 (10). S. 1031 - 1044. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8804

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Abstract

The recommendations of the AGO Breast Committee on the surgical therapy of breast cancer were last updated in March 2022 (www.ago-online.de). Since surgical therapy is one of several partial steps in the treatment of breast cancer, extensive diagnostic and oncological expertise of a breast surgeon and good interdisciplinary cooperation with diagnostic radiologists is of great importance. The most important changes concern localization techniques, resection margins, axillary management in the neoadjuvant setting and the evaluation of the meshes in reconstructive surgery. Based on meta-analyses of randomized studies, the level of recommendation of an intraoperative breast ultrasound for the localization of non-palpable lesions was elevated to ++. Thus, the technique is considered to be equivalent to wire localization, provided that it is a lesion which can be well represented by sonography, the surgeon has extensive experience in breast ultrasound and has access to a suitable ultrasound device during the operation. In invasive breast cancer, the aim is to reach negative resection margins (no tumor on ink), regardless of whether an extensive intraductal component is present or not. Oncoplastic operations can also replace a mastectomy in selected cases due to the large number of existing techniques, and are equivalent to segmental resection in terms of oncological safety at comparable rates of complications. Sentinel node excision is recommended for patients with cN0 status receiving neoadjuvant chemotherapy after completion of chemotherapy. Minimally invasive biopsy is recommended for initially suspect lymph nodes. After neoadjuvant chemotherapy, patients with initially 1-3 suspicious lymph nodes and a good response (ycN0) can receive the targeted axillary dissection and the axillary dissection as equivalent options.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Banys-Paluchowski, MaggieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thill, MarcUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuhn, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ditsch, NinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heil, JorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Woeckel, AchimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fallenberg, EvaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friedrich, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kuemmel, SherkoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, VolkmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janni, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Albert, Ute-SusannUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bauerfeind, IngoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Blohmer, Jens-UweUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Budach, WilfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dall, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fasching, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fehm, TanjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gluz, OlegUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Harbeck, NadiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huober, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jackisch, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kolberg-Liedtke, CorneliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kreipe, Hans H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Krug, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Loibl, SibylleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lueftner, DianaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lux, Michael PatrickUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maass, NicolaiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mundhenke, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nitz, UlrikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Park-Simon, Tjoung WonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reimer, ToralfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rhiem, KerstinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rody, AchimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, MarcusUNSPECIFIEDorcid.org/0000-0003-1365-2414UNSPECIFIED
Schneeweiss, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuetz, FlorianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sinn, H. PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Solbach, ChristineUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Solomayer, Erich-FranzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stickeler, ElmarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomssen, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Untch, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Witzel, IsabellUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerber, BerndUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698671
DOI: 10.1055/a-1904-6231
Journal or Publication Title: Geburtshilfe Frauenheilkd.
Volume: 82
Number: 10
Page Range: S. 1031 - 1044
Date: 2022
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1438-8804
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CONSERVING SURGERY; NEOADJUVANT CHEMOTHERAPY; CAPSULAR CONTRACTURE; RADICAL-MASTECTOMY; FOLLOW-UP; SURVIVAL; ULTRASOUND; NODESMultiple languages
Obstetrics & GynecologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69867

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