Extreme oncoplastic breast surgery: A case report.

Area of Science:

• Oncology
• Surgical Oncology
• Plastic Surgery

Background:

• Multicentric breast cancer presents unique surgical challenges.
• Traditional treatments like mastectomy may impact quality of life.
• Oncoplastic surgery is an emerging field for breast cancer management.

Purpose of the Study:

• To present a case of successful breast conservation using an "extreme" oncoplastic technique.
• To evaluate the oncological and aesthetic outcomes of this approach.
• To compare this method with traditional treatments for multicentric breast cancer.

Main Methods:

• A 48-year-old woman with multicentric breast cancer underwent three radical lumpectomies.
• The breast was reshaped following the lumpectomies.
• Simultaneous contralateral symmetrization was performed.

Main Results:

• The patient was successfully treated with breast conservation.
• The oncoplastic technique demonstrated good oncological and aesthetic outcomes.
• This approach potentially offers a better quality of life than mastectomy.

Conclusions:

• Extreme oncoplastic surgery is a viable option for selected patients with multicentric breast cancer.
• Conserving oncoplastic breast surgery can yield favorable oncological and aesthetic results.
• This technique may enhance patient quality of life compared to mastectomy, reconstruction, and radiation therapy.