Oncoplastic surgery of the breast: Rationale and experience of 30 cases

Silva, André Vallejo da; Destro, Claudinei; Torres, Wilhermo

doi:10.1016/j.breast.2007.01.014

Cited by 15 publications

(5 citation statements)

References 29 publications

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“…In breast cancer patients, breast conserving surgery has demonstrated good oncologic and cosmetic results [1,2]. However, it still remains difficult to get satisfactory cosmetic results, depending on the tumor size, location, and breast volume [3].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh

et al. 2011

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PurposeBreast conserving surgery using mesh can effectively fill the defective space, but there is the risk of infection.MethodsFrom June 2007 to August 2010, 243 patients who underwent breast conserving surgery with polyglactin 910 mesh insert for breast cancer at our institution were retrospectively studied.ResultsInfection occurred in 25 (10.3%) of 243 patients. When comparing the infection and non-infection groups in multivariate analysis, there was no significant difference in age, underlying disease, preoperative biopsy methods, mass location, axillary lymph node dissection, operative methods, neoadjuvant or adjuvant chemotherapy use, mass size and removed breast volume. The infection appeared more common only in patients with body mass index (BMI) greater than 25. Infection symptoms occurred, on average, 119.5 days after surgery, and the average duration of the required treatment was 34.4 days. Out of 25 patients with postoperative infection complications, 16 (64%) patients underwent incision and drainage with mesh removal, whereas the remaining 9 (36%) only required conservative treatment.ConclusionDuring breast conserving surgery, the risk of infection is increased in patients with high BMI, and should be taken into account when considering insertion of a polyglactin 910 mesh. Patient's age, underlying disease and perioperative treatment methods were not significant risk factors for developing mesh infection. Given that most infections seem to develop symptoms one month after surgery, a long enough observation period should be initiated. Early detection and appropriate conservative treatments may effectively address infections, thus reducing the need for more invasive therapies.

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Section: Introductionmentioning

confidence: 99%

Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh

et al. 2011

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“…Previous studies have shown that, compared with mastectomy, breast-conserving surgery has less of an impact on a patient’s body image, as well as psychosocial and social aspects of life [13, 15, 23]. By providing a better aesthetic outcome than tumour resection alone, oncoplastic breast surgery may also improve quality of life for breast cancer patients after surgical treatment [1, 3, 13].…”

Section: Introductionmentioning

confidence: 99%

“…By providing a better aesthetic outcome than tumour resection alone, oncoplastic breast surgery may also improve quality of life for breast cancer patients after surgical treatment [1, 3, 13]. …”

Section: Introductionmentioning

confidence: 99%

Surgical strategy, methods of reconstruction, surgical margins and postoperative complications in oncoplastic breast surgery

et al. 2014

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BackgroundOncoplastic breast surgery is an evolving discipline in the surgical treatment of breast cancer aimed to improve the outcome.MethodsOncoplastic breast surgery was performed between January 2008 and December 2010 on 72 women with 74 breast cancers selected from a population of 1,018 primary breast cancer patients. Careful preoperative planning revealed the possibility of partial breast reconstruction with volume reduction, volume displacement or volume replacement depending on breast size as well as tumour size and location. Data were registered consecutively.ResultsThe surgical plan was successful in all but one case, where a mastectomy had to be performed during the primary surgery. In 53 cases, a contralateral mammoplasty was performed during the operation to achieve symmetry. During the follow-up period until November 2011, only one patient needed corrective surgery. Final histopathological examination indicated that seven cases required extended resection and three cases required a mastectomy. Five patients experienced delayed wound healing, although complications requiring further surgery occurred for the reconstructed breast in four cases, the contralateral breast in three cases and the axilla after exaeresis in two cases because of haematoma. Such complications led to slight delay in adjuvant therapy for four patients.ConclusionsThis study demonstrates that it is feasible to implement oncoplastic breast surgery into daily clinical practice as a supplement to conventional breast cancer surgery. As such, oncoplastic breast surgery may provide a markedly better outcome than breast-conserving surgery in terms of shape and symmetry without compromising the surgical margins.Level of Evidence: Level IV, prognostic/risk study.

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“…In oncoplastic breast surgery three different techniques are used; volume reduction, volume displacement and volume replacement. The technique for reconstruction to be used depends on the relation between the size of the tumour, the size of the breast and the location of the tumour [8]- [10]. For our patient, we chose an immediate partial reconstruction with the volume displacement technique using an extended superomedial internal flap to fill the defect after removal of the fibroma with the chance of giving the breast a natural shape.…”

Section: Discussionmentioning

confidence: 99%

The Concept of Oncoplastic Breast Surgery Applied in Surgery for a Giant Fibroadenoma

Rose¹,

Svensson²

2014

CRCM

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Oncoplastic surgery of the breast: Rationale and experience of 30 cases

Cited by 15 publications

References 29 publications

Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh

Analysis of Infections Occurring in Breast Cancer Patients after Breast Conserving Surgery Using Mesh

Surgical strategy, methods of reconstruction, surgical margins and postoperative complications in oncoplastic breast surgery

The Concept of Oncoplastic Breast Surgery Applied in Surgery for a Giant Fibroadenoma

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