Oncoplastic principles in breast conserving surgery

Abstract

Oncoplastic surgery (OP) represents a major advance in breast cancer surgery. It is based on three principles: ideal oncology surgery with free margins and adequate local control of disease, immediate breast reconstruction and symmetry, with the transposition of plastic surgery techniques into breast cancer surgery. Its original focus was to improve the quality of life of patients undergoing oncological treatments that can be more effective from the aesthetic-functional point of view than the traditional breast conserving techniques. As it happens with all changes of paradigms, it brings new challenges for the traversal formation of all involved in the treatment of breast cancer. Besides that, it opens to new perspectives of surgical research related to the aesthetic results, quality of life and local control, as well as optimization of operative timing and reduction of both adverse effects and costs. The aim of this review was to present the principles of this approach and the main techniques applied, evaluating its indications and limits in conservative breast cancer surgery.

Surgical and oncological outcomes of free dermal fat graft for breast reconstruction after breast-conserving surgery

“…1,2 Oncoplastic breast surgery initially originated in order to improve the esthetic result of breastconserving surgery (BCS), the indications of which have grown significantly in recent years, ranging from small, wide excisions limited to 10-15% of the breast to partial mastectomies. 1 In particular, the dissatisfaction rate after BCS has been reported to be actually 30-40%.…”

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

“…Algumas mulheres não apresentam mamas perfeitamente simétricas e a idade influencia também na simetria mamária 18 . No entanto, não é rotina de todos os cirurgiões fazer registros no pré-operatório.…”

The Emerging Role of Intraoperative Radiation Therapy [IORT] in Breast Cancer

“…While BCT preserves the woman's breast, approximately 30 % of those receiving BCT are unhappy with the breast appearance upon completion of treatment [ 112 ]. This has led to the rise in the use of oncoplasty at the time of the initial breast surgery.…”