Oncoplastic breast surgery: A review and systematic approach

Berry, Miles G.; Fitoussi, A.; Curnier, Alain; Couturaud, Benoît; Salmon, R.J.

doi:10.1016/j.bjps.2009.05.006

Cited by 101 publications

(68 citation statements)

References 62 publications

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“…The procedures in this series comprised inverted-T mammaplasty, vertical-scar mammaplasty, inframammary foldplasty, L-mammaplasty, and J-mammaplasty. 21 introduced the term "therapeutic mammaplasty" and subdivided the breast into nine zones. In their initial 50 patients, 58% had inverted T-scars and 28% had vertical scars.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

et al. 2011

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We report a case of early breast cancer, which was treated successfully by oncoplastic surgery. A 65-year-old Japanese woman was referred to us for investigation of a grouped calcification on mammography of her left breast, detected during mass screening for breast cancer. No mass lesion was palpated, but we suspected that the grouped calcification seen on the mammography was a malignant lesion in the lower area of the left breast. Ultrasonography and magnetic resonance imaging revealed ductal carcinoma in situ, restricted to the inner quadrant of the left breast. Achieving a good symmetrical outcome after partial mastectomy would have been made difficult by the degree of ptosis. Thus, we performed partial mastectomy followed by an amputation-type reduction operation with free nipple-areola complex grafting, which achieved good cosmetic and oncologic results.

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Section: Discussionmentioning

confidence: 99%

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

et al. 2011

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“…Most western countries have implemented guidelines to optimally apply the elaborate diagnostic and treatment procedures available for patients with breast cancer. A strict adherence to these guidelines is required to secure the benefits in quality of life provided by the contemporary therapy, without compromising survival [3,4,5,6]. 10-24% of patients presenting with breast cancer are treated in rural/non-urban settings [7].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Early Breast Cancer Treated in an Urban and a Rural Breast Cancer Unit in Germany

Heitz

Bender²,

Barinoff³

et al. 2013

Oncol Res Treat

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Background: Conflicting evidence has been published concerning survival disadvantages in the outcome of breast cancer patients in relationship to their residency in urban or rural communities. Methods: The primary aim of this study was to evaluate differences in patients and treatment characteristics between an urban and a rural breast cancer unit. Therefore, all early breast cancer patients treated consecutively between 1999 and 2007 in a rural and an urban breast cancer unit were included. Patient and tumor characteristics, treatment strategies, and guideline adherence were included to evaluate the prognoses of both populations. Results: Overall, data from 2,566 patients were included in this analysis. The 610 patients treated in the rural unit showed significantly more negative prognostic criteria than the 1,956 patients treated in the urban center. No differences were observed with respect to surgical and systemic treatment after adjustment for prognostic parameters. Adherence to national guidelines did not differ significantly between both settings and ranged between 78.0 and 95.6%. Furthermore, no differences regarding recurrence-free and overall survival were observed. Conclusions: The stage-adjusted pattern of care was similar in 2 German breast care units in a rural region and an urban area. Nevertheless, an earlier diagnosis of breast cancer should be enforced in rural areas to avoid extended treatment burden.

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“…Although low levels of local recurrence (1.1% at 5 years) can be achieved with a 5mm target margin [19], a recent review suggests that a 2mm margin may be adequate [20] following BCS for ductal carcinoma in situ. Recent developments in BCS have centred on the use of oncoplastic techniques to improve post-operative cosmesis [21], especially in medial and lower quadrant tumours, and tumour bed localisation with titanium clips to facilitate targeted radiotherapy [22]. The last ten years, however, have seen a major paradigm shift in axillary lymph node staging with the introduction of sentinel lymph node biopsy (SLNB).…”

Section: Surgerymentioning

confidence: 99%

New technological developments in the diagnosis and surgical management of breast cancer

Wishart

Pitsinis

2010

Hellenic J Surg

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Oncoplastic breast surgery: A review and systematic approach

Cited by 101 publications

References 62 publications

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

Outcome of Early Breast Cancer Treated in an Urban and a Rural Breast Cancer Unit in Germany

New technological developments in the diagnosis and surgical management of breast cancer

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