Expanding the Role of Breast-Cancerving Therapy Using Immediate Volume Replacement

Area of Science:

• Surgical Oncology
• Plastic and Reconstructive Surgery

Background:

• Breast-conserving therapy (BCT) faces challenges balancing local recurrence prevention with cosmetic outcomes.
• Wider tumor excision in BCT can lead to aesthetic deformities.

Purpose of the Study:

• To review literature on immediate volume replacement techniques in BCT.
• To evaluate methods for improving cosmetic results in breast-conserving surgery.

Main Methods:

• Literature review of studies on immediate volume replacement in breast-conserving therapy.
• Analysis of different autogenous tissue flap options for breast reconstruction.

Main Results:

• Transverse or lateral incisions facilitate wide excision and immediate volume replacement.
• Latissimus dorsi flaps (with adipose tissue or myocutaneous) and lateral thoracic adipose tissue flaps are viable options.
• Technique selection depends on the extent of tissue excision required.

Conclusions:

• Immediate volume replacement with autogenous tissue can extend BCT indications, potentially avoiding mastectomy.
• Minimizing scar morbidity is achievable with appropriate incision and flap selection.
• Endoscopic flap harvesting may enhance future applications of these techniques.