Oncological and cosmetic outcomes of oncoplastic breast conserving surgery

Asgeirsson, Kristjan; Rasheed, Tuabin; McCulley, Stephen J.; Macmillan, R. Douglas

doi:10.1016/j.ejso.2005.05.010

Cited by 195 publications

(109 citation statements)

References 34 publications

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“…Immediate breast repair before adjuvant radiotherapy has been shown by many studies to be oncologically safe and esthetically beneficial. [3][4][5][6][7]10,14 The breast reduction pattern …”

Section: Discussionmentioning

confidence: 99%

“…1,2 The combination of partial mastectomy and postsurgical radiation therapy has sometimes resulted in poor cosmetic results, characterized by deformation and noticeable asymmetry of the shape and size of the operated breast. [3][4][5][6][7] This occurs more often when the tumour:breast size ratio is high. Several studies have shown a direct correl ation between the magnitude of parenchymal and cutaneous excision and cosmetic outcome.…”

mentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13][14] The combined plastic surgery techniques of tissue replacement or rearrangement provide a wider local excision while achieving better breast shape and symmetry. Although macromastia has been considered a contraindication for BCT owing to difficulties in administering radiation therapy at the surgical site, it has become standard procedure for a select group of patients with both breast cancer and breast hypertrophy.…”

mentioning

confidence: 99%

“…Several studies have shown a direct correl ation between the magnitude of parenchymal and cutaneous excision and cosmetic outcome. [3][4][5][6][7] Improvements in diagnostic technology and mammographic screening as well as increased use of preoperative local or systemic therapies have extended the indications for BCT.…”

mentioning

confidence: 99%

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Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction

Barnea

Inbal

Barsuk

et al. 2014

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Background: Oncoplastic breast reduction in women with medium to large breasts has reportedly benefitted them both oncologically and cosmetically. We present our experience with an oncoplastic breast reduction technique using a vertical scar superior-medial pedicle pattern for immediate partial breast reconstruction.Methods: All patients with breast tumours who underwent vertical scar superiormedial pedicle reduction pattern oncoplastic surgery at our centre between September 2006 and June 2010 were retrospectively studied. Follow-up continued from 12 months to 6 years.Results: Twenty women (age 28-72 yr) were enrolled: 16 with invasive carcinoma and 4 with benign tumours. They all had tumour-free surgical margins, and no further oncological operations were required. The patients expressed a high degree of satisfaction from the surgical outcome in terms of improved quality of life and a good cosmetic result. Conclusion:The vertical scar superior-medial pedicle reduction pattern is a versatile oncoplastic technique that allows breast tissue rearrangement for various tumour locations. It is oncologically beneficial and is associated with high patient satisfaction.Contexte : Chez des femmes qui avaient une poitrine de moyenne à volumineuse, la réduction mammaire oncoplastique aurait exercé des bienfaits, tant au plan oncologique que cosmétique. Nous présentons notre expérience d'une technique de réduction mammaire oncoplastique à cicatrice verticale et pédicule supéromédian pour une reconstruction mammaire partielle immédiate.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction

Barnea

Inbal

Barsuk

et al. 2014

cjs

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“…The goal of achieving satisfactory postoperative breast appearance without compromising oncological safety has led to the development of techniques which have enhanced the aesthetic results of breast-conserving surgery and expanded the indications for its use (162). The successful implementation of "therapeutic mammaplasty" strategies has allowed breast conservation to replace mastectomy and total breast reconstruction, in appropriate patients (163).…”

Section: Where Do We Go From Here? the Extended Role Of "Therapeutic mentioning

confidence: 99%