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Oncoplastic Breast Reconstruction in Conservation Surgery: Steps to Follow for a Successful Work

  • Gianluca FranceschiniEmail author
  • Riccardo Masetti
Letter to the Editor
  • 1 Downloads

Dear Editor,

I read with interest the work of Santosh N. Mathapati and colleagues [1] and would like to add some useful information for the surgeons in the decision-making about oncoplastic breast conservation surgery (OBCS) to optimize oncological and cosmetic outcomes.

Oncoplastic techniques are being used with increasing frequency in the multidisciplinary treatment of patients with operable breast cancer. The diffusion of this procedure comes from reported data that seem to indicate higher oncological safety and better cosmetic efficacy [1, 2, 3, 4, 5].

Many reports indicate that there are a range of possible benefits associated with the use of OBCS [ 2, 3, 4, 5, 6, 7, 8]:
  • It may allow wider excision of the tumor with safer margins and reduced cosmetic penalties.

  • It may avoid the need for mastectomy in a number of patients, without compromising local control. The patient avoids more extensive surgery and the higher complication rate and greater morbidity associated with total...

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Mathapati SN, Goel A, Mehta S, Aggarwal J, Aravindan R, Nayak V, Panda SK, Pande PK, Kumar K (2019) Oncoplastic breast reconstruction in breast conservation surgery: improving the oncological and aesthetic outcomes. Indian J Surg Oncol 10:303–308.  https://doi.org/10.1007/s13193-019-00900-1 CrossRefGoogle Scholar
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    Weber WP, Soysal SD, El-Tamer M, Sacchini V, Knauer M, Tausch C, Hauser N, Günthert A, Harder Y, Kappos EA, Schwab F, Fitzal F, Dubsky P, Bjelic-Radisic V, Reitsamer R, Koller R, Heil J, Hahn M, Blohmer JU, Hoffmann J, Solbach C, Heitmann C, Gerber B, Haug M, Kurzeder C (2017 Aug) First international consensus conference on standardization of oncoplastic breast conserving surgery. Breast Cancer Res Treat 165(1):139–149CrossRefGoogle Scholar
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    Masetti R, Di Leone A, Franceschini G, Magno S, Terribile D, Fabbri MC, Chiesa F (2006) Oncoplastic techniques in the conservative surgical treatment of breast cancer: an overview. Breast J 12(5 Suppl 2):S174–S180CrossRefGoogle Scholar
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    Mitchell SD (2017) A step-by-step oncoplastic breast conservation surgical atlas of reproducible dissection techniques and anatomically ideal incision placement. Breast Cancer Res Treat 165(3):505–516CrossRefGoogle Scholar
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Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Division of Breast Surgery, Department of Women’s and Children’s Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCSUniversità Cattolica del Sacro CuoreRomeItaly

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