Oncoplastic Techniques Allow Breast-Conserving Treatment in Centrally Located Breast Cancers

Abstract

Breast carcinoma of small size that occurs in a central location can be safely treated oncologically by breast conservation therapy. The use of various oncoplastic techniques yields very satisfactory aesthetic results.

Evaluation of surgical outcomes following oncoplastic breast surgery in early breast cancer and comparison with conventional breast conservation surgery

“…Superior pedicle reduction mammaplasty, the inferior pedicle reduction mammaplasty, round block mastopexy, Grisotti technique and LD flap are some oncoplasty surgery options for these tumours. [11][12][13][14] Our comparative study showed the clear advantage of oncoplastic surgery compared to conventional BCS in terms of the volume of the resected breast specimen, the width of the cut margin obtained and the frequency of clear margins obtained. Critics may argue that wider glandular excisions in OBS procedures are necessary to achieve symmetry with the contralateral breast and not necessarily to obtain wider surgical margins.…”

Oncoplastic reduction using the vertical scar superior-medial pedicle pattern technique for immediate partial breast reconstruction

“…Poor cosmetic results of BCT have been reported in 5%-40% of patients. [10][11][12][13][14] The management of secondary breast deformities from partial mastectomies can be challenging, particularly when operating in a radiated field, and increasing attention is being paid to long-term cosmetic results. Immediate breast repair before adjuvant radiotherapy has been shown by many studies to be oncologically safe and esthetically beneficial.…”

“…[10][11][12][13][14][15][16][17][18][19][20][21][22][23] Furthermore, removal of additional breast tissue through reduction techniques allows examination of contralateral breast tissue for occult breast lesions and theoretically makes sense in terms of reducing the risk of breast cancer.…”

“…[3][4][5][6][7][8][9][10][11][12][13][14] The combined plastic surgery techniques of tissue replacement or rearrangement provide a wider local excision while achieving better breast shape and symmetry. Although macromastia has been considered a contraindication for BCT owing to difficulties in administering radiation therapy at the surgical site, it has become standard procedure for a select group of patients with both breast cancer and breast hypertrophy.…”

Breast Cancer Version 3.2014

“…Volume displacement techniques are generally performed during the same operative setting as the breast-conserving lumpectomy by the same surgeon who is performing the cancer resection. 133,134 Advantages of oncoplastic volume displacement techniques are that they permit the removal of larger regions of breast tissue, thereby achieving wider surgical margins around the cancer, and at the same time better preserve the natural shape and appearance of the breast than standard breast resections. 135 Limitations of oncoplastic volume displacement techniques include lack of standardization among centers, performance at only a limited number of sites in the United States, and the possible need for subsequent mastectomy if pathologic margins are positive when further breast-conserving attempts are deemed impractical or unrealistic.…”