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Published on: August 19, 2025
Oncoplastic breast surgery: a review and systematic approach
M G Berry1, A D Fitoussi, A Curnier
1Departement de Chirurgie, Institut Curie, Paris, France. militorum@hotmail.com
Summary
Oncoplastic breast surgery (OBS) allows wide excision of breast cancer with clear margins, improving cosmetic outcomes. This approach, combining oncological safety and aesthetic results, is increasingly recognized as a valuable treatment option.
Area of Science:
- Oncoplastic Surgery
- Breast Cancer Treatment
- Surgical Oncology
Background:
- Oncoplastic breast surgery (OBS) has evolved significantly since the 1990s.
- Breast conserving therapy (BCT) has been established since the 1930s, with significant advancements in the last 20 years.
- Patient demand for both effective cancer treatment and satisfactory aesthetic outcomes is increasing.
Purpose of the Study:
- To review the historical development and latest innovations in oncoplastic breast surgery.
- To highlight the oncological and aesthetic benefits of OBS.
- To present a systematic approach to OBS techniques.
Main Methods:
- Review of historical developments in breast conserving therapy and oncoplastic surgery.
- Analysis of innovations in oncoplastic breast surgery techniques.
- Systematic approach comprising nine basic techniques for OBS.
Main Results:
- Oncoplastic techniques allow wide excision with clear margins without compromising cosmesis.
- OBS can be performed simultaneously with oncological excision, offering improved aesthetic results, especially in cases of ptosis and macromastia.
- A systematic approach with nine basic techniques enables high-quality treatment for various breast cancers suitable for OBS.
Conclusions:
- Oncoplastic breast surgery is a proven technique, offering both oncological safety and aesthetic improvement.
- The Milanese Consensus Conference supports the use of oncoplastic techniques for optimal breast cancer treatment.
- Continued innovation and systematic approaches are enhancing the practice and outcomes of OBS.
