Alternatives for Optimizing Outcomes in Oncoplastic Breast Surgery

Background Breast conservation treatment (BCT) is an accepted option for the treatment of breast malignancies. However, as suboptimal surgical techniques result in poor cosmetic outcomes, a plethora of operative approaches to prevent potential deformity has emerged in contemporary literature. Many o...

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Bibliographic Details
Published in:Annals of surgical oncology 2012-07, Vol.19 (7), p.2327-2333
Main Author: Tan, Mona P.
Format: Article
Language:English
Subjects:
Breast Neoplasms - surgery
Breast Oncology
Breast surgery
Female
Humans
Mammaplasty
Mastectomy
Mastectomy, Segmental
Medical Oncology
Medicine
Medicine & Public Health
Oncology
Prognosis
Surgery
Surgical Oncology
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Summary:Background Breast conservation treatment (BCT) is an accepted option for the treatment of breast malignancies. However, as suboptimal surgical techniques result in poor cosmetic outcomes, a plethora of operative approaches to prevent potential deformity has emerged in contemporary literature. Many of these procedures, referred to as oncoplastic breast surgery (OBS), depend on complex mammoplasty-type procedures, often with contralateral symmetrisation, and the frequent use of volume replacement techniques with implants or autologous tissue flaps. However, there have been reports of moderately high rates of complications for these types of procedures. Objective To propose surgical approaches that reduce tissue manipulation and lower complication rates without sacrificing local control and survival. Methods A description of methods is presented, involving closely coordinated collaboration with members of the interdisciplinary team to enable accurate resection with minimal tissue loss for appropriate margins, allowing adequate retained tissue for acceptable cosmesis. Results Using these techniques, more women with breast malignancies may undergo BCT without elaborate mammoplasty procedures or volume replacement operations with implants or autologous flaps. Conclusions The approaches described are alternatives to the conventional volume displacement techniques for optimising outcomes with OBS. They allow a greater proportion of women to undergo BCT with less tissue manipulation and lower complication rates.
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-012-2261-2