Recent developments in breast-conserving surgery for breast cancer patients

Abstract

This invited review deals with the latest knowledge regarding breast conserving therapy in breast conserving patients.

Pedicled dermoglandular flap reconstruction following breast conserving surgery

“…Results of prospective and retrospective analyses suggest that there is no benefit for resection-free margins of >2 mm compared with <2 mm; [27] thus, there is only little evidence that oncoplastic surgery may in fact improve oncologic results. However, the possibility of increased resection volume plays a central role in raising the rate of BCT [20].…”

“…In the lower quadrant, the defect is easily visible compared to the other side. However, in the upper lateral quadrant, the gravity of the breast parenchyma may stretch the skin over the defect and may improve cosmoses without using a local oncoplastic technique [20].…”

Automated classification of breast pathology using local measures of broadband reflectance

“…1 However, the number of patients with residual disease at or near the cut edge of their primary surgical specimen ranges from 5 to 82%, with the majority of studies indicating positive margins in 20-40% of patients. 2 This high variability indicates that surgical margin assessment lacks standardization, despite its importance to a patient's long-term prognosis.…”

Resection margin status during organ-sparing surgery for breast cancer

“…Чистота краев резекции -главный показатель адекватности органосохраняющей операции [4,[9][10][11][12][13]. Один из главных факторов развития местного рецидива после органосох-раняющих операций у больных РМЖ является состояние краев резекции [9,10,14,16,17]. Стандартной является хирургическая практика добиваться чистых краев резекции путем повторного иссечения [3,15].…”