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Preoperative Planning for Oncoplastic Surgery

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Oncoplastic and Reconstructive Breast Surgery

Abstract

Oncoplastic surgery represents an important evolution, allowing a better aesthetic–functional outcome for patients with breast cancer. The emphasis of this new phase in breast surgery is on immediate reconstruction associated with the transverse integration of oncologic and aesthetic–functional concepts by the surgery team and by the single surgeon. Therefore, preoperative planning is the most important time in this surgery, with two fundamental aims: anticipation of the surgical steps to follow in the operating theater, and reduction of surgical risks. In planning oncoplastic surgery it is essential to anticipate the size and location of future glandular and skin defects, and the relation of the nipple–areola complex to them. One must also plan how to correct possible previous asymmetries too, and to combine this with the oncologic approach. In this chapter, we discuss decisions regarding oncoplastic surgery and surgical planning in class I and class II surgical techniques in order to achieve the best oncologic and aesthetic–functional outcomes, and how to reduce errors.

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References

  1. Clough KB, Kroll SS, Audretsch W (1999) An approach to the repair of partial mastectomy defects. Plast Reconstr Surg 104(2):409–420

    Article  PubMed  CAS  Google Scholar 

  2. Baildam AD (2002) Oncoplastic surgery of the breast. Br J Surg 89(5):532–533

    Article  PubMed  CAS  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. 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

    CAS  Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Al-Ghazal SK, Blamey RW (1999) Cosmetic assessment of breast-conserving surgery for primary breast cancer. Breast 8(4):162–168

    Article  PubMed  CAS  Google Scholar 

  8. 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

    Article  PubMed  CAS  Google Scholar 

  9. Bulstrode NW, Shrotria S (2001) Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements. Breast 10:124–126

    Article  PubMed  CAS  Google Scholar 

  10. Berrino P, Campora E, Santi P (1987) Post quadrantectomy breast deformities: classification and techniques of surgical correction. Plast Reconstr Surg 79(4):567–572

    Article  PubMed  CAS  Google Scholar 

  11. 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 Plast Surg 41(5):471–481

    Article  PubMed  CAS  Google Scholar 

  12. 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

    Google Scholar 

  13. 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

    Article  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. Losken A, Elwood ET, Styblo TM, Bostwick J 3rd (2002) The role of reduction mammaplasty in reconstructing partial mastectomy defects. Plast Reconstr Surg 109(3):968–975

    Article  PubMed  Google Scholar 

  16. 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

    Article  PubMed  Google Scholar 

  17. Stolier A, Allen R, Linhares L (2003) Breast conservation therapy with concomitant breast reduction in large-breasted women. Breast J 9(4):269–271

    Google Scholar 

  18. Spear SL, Burke JB, Forman D, Zuurbier RA, Berg CD (1998) Experience with reduction mammaplasty following breast conservation surgery and radiation therapy. Plast Reconst Surg 102(6):1913–1916

    Article  PubMed  CAS  Google Scholar 

  19. 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

    Article  PubMed  Google Scholar 

  20. 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

    Article  PubMed  Google Scholar 

  21. 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

    Article  PubMed  Google Scholar 

  22. Rietjens M, Urban CA, Petit JY et al (2007) Long-term oncologic results of breast conservation treatment with oncoplastic surgery. Breast 16:387–395

    Article  PubMed  CAS  Google Scholar 

  23. 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

    Article  PubMed  Google Scholar 

  24. 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

    Article  PubMed  CAS  Google Scholar 

  25. Góes JC (2003) Periareolar mastopexy: double skin technique with mesh support. Aesthet Surg J 23(2):129–135

    Article  PubMed  Google Scholar 

  26. Benelli L (1990) A new periareolar mammaplasty: the “round block” technique. Aesthet Plast Surg 14(2):93–100

    Article  CAS  Google Scholar 

  27. Pitanguy I (1967) Surgical treatment of breast hypertrophy. Br J Plast Surg 20(1):78–85

    Article  PubMed  CAS  Google Scholar 

  28. Lejour M (1999) Vertical mammaplasty: early complications after 250 personal consecutive cases. Plast Reconstr Surg 104(3):764–770

    PubMed  CAS  Google Scholar 

  29. 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

    Article  PubMed  Google Scholar 

  30. Robbins TH (1977) A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle. Plast Reconstr Surg 59(1):64–67

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Oncoplastic and Reconstructive Division, Breast Unit, Hospital Nossa Senhora das Graças, Positivo University, Curitiba, Brazil

    Cicero Urban

  2. Division of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy

    Mario Rietjens

Authors
  1. Cicero Urban
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  2. Mario Rietjens
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Correspondence to Cicero Urban .

Editor information

Editors and Affiliations

  1. , BreastUnit, Hospital Nossa Senhora das Gracas, Rua Padre Agostinho 913 ap 51, Curitiba, 80430050, Brazil

    Cicero Urban

  2. , Plastic and Reconstructive Division, European Institute of Oncology, Via Ripamonti, 435, Milan, 20100, Italy

    Mario Rietjens

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Urban, C., Rietjens, M. (2013). Preoperative Planning for Oncoplastic Surgery. In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_11

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_11

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2651-3

  • Online ISBN: 978-88-470-2652-0

  • eBook Packages: MedicineMedicine (R0)

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