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Oncoplastic breast surgery: Achieving oncological and aesthetic outcomes
Author(s) -
van Paridon Maaike W.,
Kamali Parisa,
Paul Marek A.,
Wu Wia,
Ibrahim Ahmed M.S.,
Kansal Kari J.,
Houlihan Mary Jane,
Morris Donald J.,
Lee Bernard T.,
Lin Samuel J.,
Sharma Ranjna
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24634
Subject(s) - oncoplastic surgery , medicine , mastopexy , cosmesis , breast surgery , patient satisfaction , mammaplasty , surgery , plastic surgery , breast conserving surgery , breast reconstruction , general surgery , mastectomy , breast cancer , cancer
Background and Objectives Oncoplastic reconstruction allows more patients to become candidates for breast‐conserving surgery (BCS). Oncologic resection of a breast lesion is combined with plastic surgical techniques to improve aesthetic results. Choosing the best oncoplastic method is essential to optimize outcomes, improve cosmesis, and minimize postoperative complications. The aim of this study is to present a treatment algorithm incorporating oncoplastic techniques based on diagnosis, tumor size, tumor location, and breast size and shape. Methods A retrospective pilot study of a prospectively collected database was conducted in patients undergoing immediate oncoplastic surgery from 2010 to 2015 at our institution. Oncoplastic surgical techniques were defined as complex layered closure, local tissue rearrangement, pedicled flap, mastopexy, bilateral reduction, or implant placement. Clinical, demographic, and histopathologic data were extracted from electronic patient records. Patient satisfaction was measured by the BREAST‐Q questionnaire. Results A total of 42 women and 46 breasts were included. An algorithm was formulated to assist in selecting an optimal oncoplastic reconstruction plan after BCS. Additionally, patient satisfaction with good aesthetic results was reported. Conclusion In this study, the authors present a reconstructive algorithm describing various oncoplastic approaches aimed to provide a guideline in clinical practice when employing oncoplastic surgery.