Training Canadian surgeons in oncoplastic breast surgery: Where do we stand?

Training Canadian surgeons in oncoplastic breast surgery: Where do we stand?

Can J Surg 2017;60(6):369-371 | PDF

Eman Khayat, MD; Muriel Brackstone, MD, PhD; Jessica Maxwell, MD, MSc; Renee Hanrahan, MD; Jeannie Richardson, MD; Marianna Kappala, MD; Angel Arnaout, MD, MSc

Summary

Breast-conserving surgery with adjuvant radiation therapy is widely accepted as a universal standard of care for women with early-stage breast cancer. Oncoplastic breast-conserving surgery (OPS) techniques have emerged in recent years, facilitating the achievement of better cosmetic results while adhering to good oncological principles. Compared with the rest of the international community, Canada has been fairly slow in its clinical uptake of OPS. This commentary discusses how Canada can increase its capacity for OPS.


Accepted May 30, 2017

Affiliations: From the Division of Surgical Oncology, Schulich School of Medicine and Dentistry, Western University, London, Ont. (Khayat, Brackstone); the Division of Surgical Oncology, Nebraska Medical Center, Omaha, NE (Maxwell); the Department of Surgery, Royal Victoria Regional Health Centre, Barrie, Ont. (Hanrahan); the Division of General Surgery, Trillium Health Partners, Mississauga, Ont. (Richardson, Kappala); and the Division of Surgical Oncology, the Ottawa Hospital, Ottawa, Ont. (Arnaout).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.001217

Correspondence to: M. Brackstone, London Regional Cancer Program — Surgery, 790 Commissioners Rd East, London ON N6A 4L6 muriel.brackstone@lhsc.on.ca