Wide Local Excision Versus Oncoplastic Breast Surgery: Differences in Surgical Outcome for an Assumed Margin (0, 1, or 2 mm) Distance

Six-year experience of oncoplastic volume replacement using local perforator flaps

“…5,6 Similar margin clearance rates are seen for patients undergoing local chest wall perforator flaps as those undergoing volume displacement techniques such as therapeutic mammaplasty. 5 Our involved margin rate in this study was 15%. Just three patients required mastectomy to achieve margin clearance and the remainder underwent successful re-excision of margins.…”

“…Studies have shown that oncoplastic breast surgery can achieve greater margin clearance at the primary surgery compared to standard WLE and that this can reduce the subsequent mastectomy rate. 5 Incomplete excision rates are reported at 5.7%-10%. 5,6 Similar margin clearance rates are seen for patients undergoing local chest wall perforator flaps as those undergoing volume displacement techniques such as therapeutic mammaplasty.…”

“…5 Incomplete excision rates are reported at 5.7%-10%. 5,6 Similar margin clearance rates are seen for patients undergoing local chest wall perforator flaps as those undergoing volume displacement techniques such as therapeutic mammaplasty. 5 Our involved margin rate in this study was 15%.…”

“…4 Studies have shown that oncoplastic procedures are oncologically safe, provide good aesthetic outcomes and do not delay adjuvant therapy. [5][6][7][8] Within the scope of BCS, oncoplastic techniques include parenchymal remodelling, volume displacement or volume replacement surgery. 9 Volume replacement techniques using perforator flaps for partial breast reconstruction are increasing in popularity.…”

Onkoplastisk brystbevarende kirurgi

“…Onkoplastisk brystbevarende kirurgi må ikke gå på bekostning av nødvendig onkologisk behandling. Studier viser at onkoplastisk brystbevarende kirurgi gir like god kontroll på sykdommen sammenlignet med enkel brystbevarende kirurgi eller mastektomi om man ser på reseksjonsmargin, residiv og overlevelse (6,7,11,14,15). Vi har også inntrykk av faerre operative inngrep, mindre smerter og raskere rehabilitering blant våre pasienter.…”