gynecology-2019-accepted-abstracts

7 / 14

allied
academies
Page 38
Research and Reports in Gynecology and Obstetrics | Volume 3
November 14-15, 2019 | Singapore
Obstetrics and Gynecology
4th International Conference on
Improving treatment options and quality of life in breast cancer survivors: International
data from fertility preserving options in breast cancer survivors and conservative
interventions
Ioannis G Papanikolaou
Humanitas University, Italy
Breast cancer is the most frequent cancer among women.
The emphasis on fertility preservation, quality of life
and breast-cosmesis related issues have challenged in the
last years the Subspecialty of Reproductive Endocrinology
and Assisted Reproduction, as well as breast cancer surgery.
Fertility preservation before gonadotoxic treatments
has motivated scientific community to introduce fertility
counselling in breast cancer treatment options. The need
for breast conserving surgery, as well as the effort to obtain
better cosmesis after surgery has leaded breast surgeons to
develop oncoplastic breast conserving surgery. Oncoplastic
techniques combine oncologic surgery with plastic surgery
techniques. Main objective remains oncologic safety.
Established goals of OPS are to broaden indications of breast
conservation towards larger tumors by improving aesthetic
outcomes. There is a growing demand to standardize various
aspects of OPS for implementation into clinical practice.
Current evidence on OPS is based on poorly designed and
underpowered studies. Research efforts should focus on
Level I evidence assessing oncological and aesthetic outcomes
of OPS and obtained survival rates. Fertility preservation
must be offered in all young breast cancer patients. Ovarian
stimulation protocols vary according to the ER status and
the disease stage and biological behavior. Treatment options
must be personalized and selected case by case.
e:
Res Rep Gynaecol Obstet, Volume:3
DOI: 10.35841/2591-7366-C3-009