Tufts Medical Center, Boston, USA.
Women and Infants' Hospital, Breast Health Center, Providence, USA.
Ann Surg Oncol. 2018 Oct;25(10):2790-2794. doi: 10.1245/s10434-018-6586-3. Epub 2018 Jul 12.
Oncoplastic surgery is emerging as a validated, safe, patient-centric approach to breast cancer surgery in the United States. The American Society of Breast Surgeons Oncoplastic Surgery Committee (ASBrS-OSC) conducted a survey to assess the scope of practice and level of interest in oncoplastic surgery among its members. Furthermore, the group sought to identify barriers to incorporating oncoplastic skills in a surgeon's practice.
A 10-question survey was administered in March 2017 to the entire ASBrS membership using an online format. Three solicitations were sent. Unique identifiers allowed a single response.
Of the 2655 surveys sent out, 708 members responded. Nearly all (99%) respondents had at least some interest in oncoplastic surgery. The current rates of performing nipple-sparing mastectomy, adjacent tissue transfer, and breast reduction with lumpectomy were 80, 60, and 51%, respectively. A minority of respondents reported independently performing breast reductions/mammaplasties (19%) or contralateral symmetrization (10%). Barriers to learning oncoplastic surgery included surgeon's time and access to oncoplastic educational material/courses. Most respondents felt that training courses and videos may allow them to better incorporate oncoplastic techniques in their practices.
The interest in oncoplastic surgery among U.S. surgeons is significant, yet there are barriers to incorporate these surgical techniques into a breast surgeon's practice. As professional organizations provide access to effective training and enduring educational resources, breast surgeons will be enabled to develop their oncoplastic skill set and safely offer these techniques to their patients.
整形肿瘤学在美国已成为一种经过验证的、安全的、以患者为中心的乳腺癌手术方法。美国乳腺外科学会整形肿瘤学委员会（ASBrS-OSC）进行了一项调查，以评估其成员在整形肿瘤学方面的实践范围和兴趣程度。此外，该组织还试图确定在外科医生的实践中纳入整形肿瘤学技能的障碍。
2017 年 3 月，使用在线格式向 ASBrS 全体会员发送了一份包含 10 个问题的调查问卷，共发送了 3 次。每个唯一的标识符只允许回复一次。
在发出的 2655 份调查中，有 708 名会员做出了回应。几乎所有（99%）的受访者对整形肿瘤学至少有一定的兴趣。目前实施保乳乳头切除术、邻近组织转移和乳房缩小与肿瘤切除术的比例分别为 80%、60%和 51%。少数受访者报告独立进行乳房缩小/乳房成形术（19%）或对侧对称术（10%）。学习整形肿瘤学的障碍包括外科医生的时间和获得整形肿瘤学教育材料/课程的机会。大多数受访者认为培训课程和视频可能使他们能够更好地将整形肿瘤学技术融入他们的实践中。
美国外科医生对整形肿瘤学的兴趣很大，但将这些手术技术纳入乳腺外科医生的实践中仍存在障碍。随着专业组织提供有效的培训和持久的教育资源，乳腺外科医生将能够发展他们的整形肿瘤学技能，并安全地为他们的患者提供这些技术。
