Oncoplastic breast surgery: Achieving oncological and aesthetic outcomes

Paridon, Maaike W. van; Kamali, Parisa; Paul, Marek A.; Wu, Winona; Ibrahim, Ahmed M. S.; Kansal, Kari; Houlihan, Mary Jane; Morris, Donald J.; Lee, Bernard T.; Lin, Samuel J.; Sharma, Ranjna

doi:10.1002/jso.24634

Cited by 43 publications

(33 citation statements)

References 62 publications

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“…Surgical management usually includes BCS or mastectomy. When performing BCS achieving tumor‐free margins must be balanced with any subsequent cosmetic defect . Mastectomy may be indicated in cases where the disease is extensive compared to breast size resulting in significant cosmetic deformity .…”

Section: Discussionmentioning

confidence: 99%

“…A 48-year-old woman presenting with an abnormal mammogram demonstrating a focal asymmetry measuring 10.0 × 8.0 × 6.5 cm in the lower outer quadrant of the left breast ( Figure 1A must be balanced with any subsequent cosmetic defect. 16 Mastectomy may be indicated in cases where the disease is extensive compared to breast size resulting in significant cosmetic deformity. 17 Advances in oncoplastic techniques allow more patients to become candidates for BCS.…”

Section: Casementioning

confidence: 99%

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The role of three‐dimensional printing in the surgical management of breast cancer

Santiago

Adrada

Caudle

et al. 2019

Journal of Surgical Oncology

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A patient‐specific 3‐dimensional printed model (3DPM) of a woman with breast cancer was created. Mastectomy was favored as BCS would necessitate significant breast size alteration due to the extent of disease. After review of the 3D printed model, the patient and surgeon agreed on breast‐conserving surgery. Use of patient‐specific 3DPM in the setting of breast cancer may aid patient decision making and surgical planning, leading to enhanced surgical and oncological outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Casementioning

confidence: 99%

The role of three‐dimensional printing in the surgical management of breast cancer

Santiago

Adrada

Caudle

et al. 2019

Journal of Surgical Oncology

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“…[41] With the OPS, major volume cancer resection can be achieved without having to do mastectomy, with superior aesthetic consequences. [42][43][44][45] The OPS abolishes the necessity for complex delayed corrective procedures of WLE deformities worsened by irradiation. [46,47] The OPS also reduces the breast volume, which minimizes radiotherapy related complications [ Table 4].…”

Section: Latissimus Dorsi (Ld) Flapmentioning

confidence: 99%

A PICTORIAL REVIEW OF ONCOPLASTIC & RECONSTRUCTIVE BREAST SURGERY

Parvaiz

Roche

Rusby

et al. 2018

J Cancer Allied Spec

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Oncoplastic surgery (OPS) of the breast has revolutionised the surgical practice in the past few years worldwide and has become an integral part of the breast cancer surgical treatment. OPS blends the principals of good local oncological control with plastic surgery techniques for immediate breast reshaping to provide best cosmetic results as well as oncological safety. It helps in extending the boundaries of breast-conservation treatment to include a group of patients who would otherwise require mastectomy to achieve complete excision of the tumour. OPS is a broad concept that can be used for several different combinations of oncological breast-conserving surgery and reconstructive surgery in the form of breast re-shaping/re-modelling. Careful patient selection and pre-operative planning are key components for the success of any OPS operation for breast cancer. Thorough surgical planning is mandatory including clinical assessment and breast measurements with reference to tumour/breast volume ratios. Mastectomy and total breast reconstruction are an option for patients that cannot have breast conservation. In this article, we provide a pictorial review of various oncoplastic and reconstructive breast operations, explaining the indications, essential principles, concepts and techniques of various surgical procedures.Key words: Breast cancer, oncoplastic surgery, breast reconstruction

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“…Breast reconstruction after partial or total mastectomy can be achieved with volume displacement, volume replacement techniques or implant-based surgery. The volume displacement technique is performed with the advancement, transposition, or reshaping of the breast parenchyma, whereas the volume replacement technique is performed with adjacent or distant ap surgery (2)(3)(4)(5)(6). As the blood supply of the ap is supported by donor site vessels only, fat necrosis is more common with the volume replacement technique than with conventional breast-conserving surgery or the volume displacement technique.…”

Section: Introductionmentioning

confidence: 99%

Natural Course of Fat Necrosis After Breast Reconstruction: A 10-Year Follow-Up Study

Lee

Park

Kim

et al. 2020

Preprint

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Abstract Background: Although fat necrosis is a minor postoperative complication after breast reconstruction, occasionally it mimics to tumor recurrence in patients with breast cancer. Therefore, the surgeon should distinguish between benign fat necrosis and true local recurrence. The authors evaluated the clinical characteristics of fat necrosis after breast reconstruction and investigated the natural course of fat necrosis.Methods: Between 2007 and 2013, a total of 362 patients underwent breast reconstruction after partial or total mastectomy for breast cancer in Kyungpook National University Hospital. Clinicopathologic characteristics and the occurrence of fat necrosis were assessed during surveillance for 10 years of mean follow-up period.Results: There were 42 cases (11.6 %) of fat necrosis after breast reconstruction with partial or total mastectomy which were confirmed by needle or excision biopsy. The fat necrosis was resolved after a mean period of 45.9 months (SD, ± 42.1) and 26 cases (61.9 %) of fat necrosis were almost completely resolved (less than 5 mm) during 10-year follow-up period.Conclusion: Based on the natural course of fat necrosis, the fat necrosis after breast reconstruction can be only monitored, if pathologic confirmation was done. More than half of the cases will be resolved within 2–3years.

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Oncoplastic breast surgery: Achieving oncological and aesthetic outcomes

Abstract: In this study, the authors present a reconstructive algorithm describing various oncoplastic approaches aimed to provide a guideline in clinical practice when employing oncoplastic surgery.

Cited by 43 publications

References 62 publications

The role of three‐dimensional printing in the surgical management of breast cancer

The role of three‐dimensional printing in the surgical management of breast cancer

A PICTORIAL REVIEW OF ONCOPLASTIC & RECONSTRUCTIVE BREAST SURGERY

Natural Course of Fat Necrosis After Breast Reconstruction: A 10-Year Follow-Up Study

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