Abstract
In a BCT, the focus is on an oncologically safe local resection following radiation therapy. Oncoplastic surgery includes wider margins and a partial mastectomy to (1) allow better local oncologic control. (2) The breast is shaped to improve the aesthetic outcome, which includes (3) the contralateral side, as symmetry is an essential part of breast aesthetics. (4) Some studies advocate a primary reconstruction of the breast avoiding cavities which in turn lead to better results after radiation therapy.
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Literature
Anderson BO, Masetti R, Silverstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol. 2005;6:145–57.
Hamdi M. Oncoplastic and reconstructive surgery of the breast. Breast. 2013;22(Suppl 2):S100–5.
Losken A, Hart AM, Broecker JS, Styblo TM, Carlson GW. Oncoplastic breast reduction technique and outcomes: an evolution over 20 years. Plast Reconstr Surg. 2017a;139:824e–33e.
Losken A, Hart AM, Chatterjee A. Updated evidence on the Oncoplastic approach to breast conservation therapy. Plast Reconstr Surg. 2017b;140(5S Advances in Breast Reconstruction):14S–22S.
Losken A, Hart AM, Dutton JW, Broecker JS, Styblo TM, Carlson GW. The expanded use of autoaugmentation techniques in Oncoplastic breast surgery. Plast Reconstr Surg. 2018;141:10–9.
Nahabedian M. Oncoplastic surgery of the breast. Philadelphia: Saunders; 2009.
Ribeiro L, Accorsi A Jr, Buss A, Marcal-Pessoa M. Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg. 2002;110:960–70.
Silverstein MJ, Mai T, Savalia N, Vaince F, Guerra L. Oncoplastic breast conservation surgery: the new paradigm. J Surg Oncol. 2014;110:82–9.
Tong WM, Baumann DP, Villa MT, Mittendorf EA, Liu J, Robb GL, Kronowitz SJ, Garvey PB. Obese women experience fewer complications after Oncoplastic breast repair following partial mastectomy than after immediate total breast reconstruction. Plast Reconstr Surg. 2016;137:777–91.
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Fansa, H., Heitmann, C. (2019). Oncoplastic Surgery. In: Breast Reconstruction with Autologous Tissue. Springer, Cham. https://doi.org/10.1007/978-3-319-95468-4_5
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DOI: https://doi.org/10.1007/978-3-319-95468-4_5
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