Oncoplastic breast conserving surgery: Volume replacement vs. volume displacement.

Area of Science:

• Oncology
• Plastic Surgery
• Breast Surgery

Background:

• Oncoplastic breast conserving surgery (BCS) is a novel surgical option.
• It offers an alternative between conventional BCS and mastectomy.
• It encompasses two main techniques: volume replacement and volume displacement.

Purpose of the Study:

• To describe the principles and benefits of oncoplastic BCS.
• To highlight its advantages over traditional methods.
• To discuss the surgical approaches and requirements.

Main Methods:

• Partial mastectomy combined with immediate breast reconstruction.
• Volume replacement: using autologous tissue for reconstruction.
• Volume displacement: utilizing remaining breast tissue to fill defects.

Main Results:

• Achieves superior cosmetic outcomes compared to mastectomy with reconstruction.
• Avoids mastectomy in more patients while maintaining oncological safety.
• Results in less extensive procedures with fewer complications.

Conclusions:

• Oncoplastic BCS provides excellent cosmetic results and oncological control.
• It offers a less invasive option than conventional treatments.
• Requires specialized surgical expertise and may involve one- or two-stage procedures.