Abstract
Oncoplastic surgery (OP) represents an important evolution in breast cancer treatment, allowing better aesthetic outcomes and lower risks of compromising margins and reoperations. It is both a new surgical method and technical refinement. Therefore, the emphasis is on immediate partial reconstruction, with the synergic combination of plastic surgery and oncologic surgery concepts. So, in this chapter it was discussed its history and evolution, and the indications and limits of Class I and Class II surgeries, in order to achieve best oncologic and aesthetic-functional outcomes for breast cancer patients.
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References
Audretsch W, Rezai M, Kolotas C, Zamboglou N, Schnabel T, Bojar H (1998) Tumor-specific immediate reconstruction in breast cancer patients. Semin Plast Surg 11(1):71–99
Clough KB, Kroll SS, Audretsch W (1999) An approach to the repair of partial mastectomy defects. Plast Reconstr Surg 104(2):409–420
Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC (2003) Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 237(1):26–34
Santos G, Urban C, Edelweiss MI, Zucca-Matthes G, Oliveira VM, Arana GH et al (2015) Long-term comparison of aesthetical outcomes after oncoplastic surgery and lumpectomy in breast cancer patients. Ann Surg Oncol 22:2500–2508
De Lorenzi F, Loschi P, Bagnardi V, Rotmensz N, Hubner G, Mazzarol G et al (2016) Oncoplastic breast-conserving surgery for tumors larger than 2 centimeters: is it oncologically safe? A matched-cohort analysis. Ann Surg Oncol 23(6):1852–1859
Kaur N, Petit JY, Rietjens M, Maffini F, Luini A, Gatti G et al (2005) Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer. Ann Surg Oncol 12(7):539–545
Rietjens M, Urban CA, Petit JY et al (2007) Long-term oncologic results of breast conservation treatment with oncoplastic surgery. Breast 16:387–395
Urban C, Lima R, Schunemann E, Spautz C, Rabinovich I, Anselmi K (2011) Oncoplastic principles in breast conserving surgery. Breast 20(Suppl 3):S92–S95
Delay E (2008) Plea for the development of oncoplastic surgery in breast cancer surgery (French). Ann Chir Plast Esthét 53(2):85–87
Petit JY, Garusi C, Greuse M, Rietjens M, Youssef O, Luini A et al (2002) One hundred and eleven cases of breast conservation treatment with simultaneous reconstruction at the European institute of oncology (Milan). Tumori 88(1):41–47
Rietjens M, Petit JY, Contesso G, Bertin F, Gilles R (1997) The role of reduction mammaplasty in oncology. Eur J Plast Surg 20(5):245–250
Smith ML, Evans GR, Gurlek A, Bouvet M, Singletary SE, Ames FC et al (1998) Reduction mammaplasty: its role in breast conservation surgery for early-stage breast cancer. Ann Plast Surg 41(3):234–239
Losken A, Elwood ET, Styblo TM, Bostwick J III (2002) The role of reduction mammaplasty in reconstructing partial mastectomy defects. Plast Reconstr Surg 109(3):968–975
Spear SL, Pelletiere CV, Wolfe AJ, Tsangaris TN, Pennanen MF (2003) Experience with reduction mammaplasty combined with breast conservation therapy in the treatment of breast cancer. Plast Reconstr Surg 111(3):1102–1109
Stolier A, Allen R, Linhares L (2003) Breast conservation therapy with concomitant breast reduction in large-breasted women. Breast J 9(4):269–271
Fitoussi AD, Berry MG, Famà F, Falcou MC, Curnier A, Couturaud B et al (2010) Oncoplastic breast surgery for cancer: analysis of 540 consecutive cases. Plast Reconstr Surg 125:454–462
Galimberti V, Zurrida S, Zanini V, Callegari M, Veronesi P, Catania S et al (1993) Central small size breast cancer: how to overcome the problem of nipple and areola involvement. Eur J Cancer 29A(8):1093–1096
Clough KB, Cuminet J, Fitoussi A, Nos C, Mosseri V (1998) Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Surg Oncol 41(5):471–481
Jeevan R, Cromwell DA, Trivella M, Lawrence G, Kearins O, Pereira J et al (2012) Reoperation rates after breast conserving surgery for breast cancer among women in England: retrospective study of hospital episode statistics. BMJ 345:e4505
McCahill LE, Single RM, Aiello Bowles EJ, Feigelson HS, James TA, Barney T et al (2012) Variability in reexcision following breast conservation surgery. JAMA 307(5):467–475
Sacchini V, Luini A, Tana S, Lozza L, Galimberti V, Merson M et al (1991) Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer 27(11):1395–1400
Al-Ghazal SK, Blamey RW, Stewart J, Morgan AA (1999) The cosmetic outcome in early breast cancer treated with breast conservation. Eur J Surg Oncol 25(6):566–570
Olivotto IA, Rose MA, Osteen RT, Love S, Cady B, Silver B et al (1989) Late cosmetic outcome after conservative surgery and radiotherapy: analysis of causes of cosmetic failure. Int J Radiat Oncol Biol Phys 17(4):747–753
Bulstrode NW, Shrotria S (2001) Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements. Breast 10:124–126
Berrino P, Campora E, Santi P (1987) Post-quadrantectomy breast deformities: classification and techniques of surgical correction. Plast Reconstr Surg 79(4):567–572
Haloua MH, Krekel NM, Winters HA, Rietveld DH, Meijer S, Bloemers FW et al (2013) A systematic review of oncoplastic breast conserving surgery: current weaknesses and future prospects. Ann Surg 257(4):609–620
Losken A, Dugal CS, Styblo TM, Carlson GW (2014) A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg 72(2):145–149
Schaverien MV, Doughty JC, Stallard S (2014) Quality of information reporting in studies of standard and oncoplastic breast-conserving surgery. Breast 23(2):104–111
Landercasper J, Attai D, Atisha D, Beitsch P, Bosserman L, Boughey J et al (2015) Toolbox to reduce lumpectomy reoperations and improve cosmetic outcome in breast cancer patients: the American Society of Breast Surgeons Consensus Conference. Ann Surg Oncol 22:3174–3183
Munhoz AM, Montag E, Arruda E et al (2009) Immediate reconstruction following breast-conserving surgery: management of the positive surgical margins and influence on secondary reconstruction. Breast 18:47–54
Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER et al (2002) Twenty-year follow-up of a randomized trial comparing total mastectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 347(16):1233–1241
Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A et al (2002) Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347(16):1227–1232
Góes JC (2003) Periareolar mastopexy: double skin technique with mesh support. Aesthet Surg J 23(2):129–135
Benelli L (1990) A new periareolar mammaplasty: the “round block” technique. Aesthet Plast Surg 14(2):93–100
Pitanguy I (1967) Surgical treatment of breast hypertrophy. Br J Plast Surg 20(1):78–85
Lejour M (1999) Vertical mammaplasty: early complications after 250 personal consecutive cases. Plast Reconstr Surg 104(3):764–770
Ribeiro L, Accorsi A Jr, Buss A, Marçal-Pessoa M (2002) Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg 110(3):960–970
Robbins TH (1977) A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 59(1):64–67
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Urban, C., Rietjens, M. (2017). Oncoplastic Surgery. In: Veronesi, U., Goldhirsch, A., Veronesi, P., Gentilini, O., Leonardi, M. (eds) Breast Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48848-6_32
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DOI: https://doi.org/10.1007/978-3-319-48848-6_32
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