Therapeutic Mammaplasty for Breast Cancer: Oncological and Aesthetic Outcomes

Abstract

Primary chemotherapy allowed for TM in patients with large tumours. Intraoperative margin assessment decreased reoperation rate. Contralateral matching procedures resulted in histological detection of occult disease. TM is an oncologically appropriate and cosmetically favourable technique.

Oncoplastic breast surgery in the setting of breast-conserving therapy: A systematic review

“…In addition, the scoring system in each methodology widely varied, such as 0% to 100% satisfaction, acceptable versus unacceptable, and excellent/good/satisfactory/poor 15, 29, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59. The only standardization involved in methodology was the 5 parameters that were used in the cosmesis assessment: breast shape, symmetry, scars, nipple areola complex position and shape, and postirradiation sequelae 15, 29, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59. The differences in the methodology diminish the possibility of establishing a meaningful comparison across studies.…”

Comparison of Mammographic Findings Following Oncoplastic Mammoplasty and Lumpectomy Without Reconstruction

“…This recurrence rate is comparable to other published studies of oncoplastic mammoplasty patients. 5,6,11,[34][35][36] When we anticipate that there will be a significant tumor burden left at the end of neoadjuvant therapy, and thus the likelihood of radiation is high, even if a mastectomy is planned, we try to perform breast conservation if at all possible to minimize reconstructive complications. This is particularly important in patients who will require full axillary node dissection, as our experience has shown significant complications with the combination of postmastectomy radiation and axillary dissection in the setting of implant-based reconstruction.…”

“…1-4 Incorporating oncoplastic techniques also can facilitate BCT in patients with larger tumors. 5,6 The techniques can be used safely in patients with locally advanced cancers and patients who have undergone neoadjuvant chemotherapy. [6][7][8] Additionally, recent studies have shown that oncoplastic surgery allows for improved margin control with lower reexcision rates and lower recurrence rates.…”

“…5,6 The techniques can be used safely in patients with locally advanced cancers and patients who have undergone neoadjuvant chemotherapy. [6][7][8] Additionally, recent studies have shown that oncoplastic surgery allows for improved margin control with lower reexcision rates and lower recurrence rates. 9 Bilateral reduction mammoplasty is a valuable oncoplastic technique in women with preoperative macromastia and patients with large tumor-to-breast ratios.…”

Oncoplastic and reconstructive breast surgery in the elderly

“…Oncoplastic breast‐conserving surgery may offer oncological advantages as a result of the wider area of tissue excised and, importantly, margins are more likely to be clear with a reduction in the number of second operations required. In a survey of 11 studies with a total of 1532 patients undergoing therapeutic mammoplasty, a median of 7·4 (range 0·1–16) per cent underwent further surgery for close or involved margins. This compares with a re‐excision rate of 20 per cent reported in a large cohort study of 55 297 women undergoing breast conservation in English hospitals.…”