Oncoplastic and reconstructive breast surgery in Canada: breaking new ground in general surgical training

Oncoplastic and reconstructive breast surgery in Canada: breaking new ground in general surgical training

Can J Surg 2018;61(5):294-299 | PDF

Lashan Peiris, MBBS(Lon); David Olson, MD; Kelly Dabbs, MD

Summary

Oncoplastic breast surgery combines certain plastic surgery procedures with a breast cancer resection to minimize the cosmetic penalty. We compared current practices in breast surgery in Canada and the UK, looking at the classification of oncoplastic breast surgery, management of larger tumours that would otherwise mandate a mastectomy, and the breast surgeon’s role in immediate breast reconstruction. Reconstructive breast surgery has always fallen within the domain of the plastic surgeon, but surgical subspecialization and more focused fellowship training have meant that breast surgeons with the appropriate skillset can offer these procedures. This evolution of the breast surgeon has led to the birth of a new field of breast surgery known as oncoplastic and reconstructive breast surgery. Those tasked with developing surgical training programs in Canada must now decide whether to train breast surgeons in these techniques to improve long-term quality of life among Canadian patients with breast cancer.


Accepted Jan. 30, 2018

Affiliations: From the Department of Surgery, Misericordia Community Hospital, University of Alberta, Edmonton, Alta.

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.016717

Correspondence to: L. Peiris, Department of General Surgery, Misericordia Community Hospital, 16940 87 Avenue NW, Edmonton AB T5R 4H5, peiris@ualberta.ca