Oncoplastic Breast-Conserving Surgery in Low- and Middle-Income Countries: Training Surgeons and Bridging the Gap

被引:10
作者
Freitas-Junior, Ruffo [1 ,2 ]
Ferreira-Filho, Darley Lima [3 ]
Soares, Leonardo Ribeiro [1 ]
Paulinelli, Regis Resende [1 ,2 ]
机构
[1] Univ Fed Goias, Hosp Clin, CORA Program Mastol, 1a Ave S-N,Setor Univ, BR-74605050 Goiania, Go, Brazil
[2] Goias Anticanc Assoc ACCG, Hosp Araujo Jorge, Rua 239,181,Setor Univ, BR-74605070 Goiania, Go, Brazil
[3] Hosp Barao de Lucena, Breast Unit, Ave Caxanga 3860, BR-50731000 Recife, PE, Brazil
关键词
Breast cancer; Breast-conserving surgery; Oncoplastic breast surgery; Low; and middle-income countries; Breast reconstruction; CANCER; RECONSTRUCTION; TRENDS; STANDARDIZATION; MASTOTRAINER; MAMMAPLASTY; MASTECTOMY; SAFETY; BRAZIL; WOMEN;
D O I
10.1007/s12609-019-00317-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of Review Breast cancer treatment in low- and middle-income countries involves a series of limitations. On the other hand, oncoplastic surgery has been well established in these countries as an alternative to mastectomy, offering oncologic safety while preserving the natural contours of the female breast. The aim of this review is to discuss recent studies and analyses involving oncoplastic surgery in low- and middle-income countries. Recent Findings Although major differences remain between low- and high-income countries with respect to science, this same pattern is not reflected in oncoplastic surgery. This is explained by the fact that this technique is associated more with the nature of the surgical training provided than with the availability of financial resources. In low- and middle-income countries, oncoplastic surgery may contribute towards reducing inequalities and improving the management of breast cancer treatment, providing adequate oncologic results even when financial resources are limited.
引用
收藏
页码:136 / 142
页数:7
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