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[Oncoplastic breast surgery].

A Baratte1, C Mathelin2, L Ruffenach3

  • 1Service de chirurgie maxillo-faciale, plastique et réparatrice, hôpital Civil, CHU de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France; Service de sénologie, hôpital de Hautepierre, CHU de Strasbourg, 1, avenue Molière, 67200 Strasbourg, France.

Annales De Chirurgie Plastique Et Esthetique
|October 3, 2018
PubMed
Summary
This summary is machine-generated.

Oncoplastic surgery combines breast tumor removal with plastic surgery techniques to maintain breast shape. This approach offers equivalent efficacy to mastectomy while improving patient acceptance and reducing the need for corrective surgeries.

Keywords:
Breast cancerBreast-conserving treatmentCancer du seinChirurgie oncoplastiqueMastectomie partielleOncoplastic surgeryTechniques for each quadrantTechniques par quadrant

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Area of Science:

  • Surgical Oncology
  • Plastic and Reconstructive Surgery

Background:

  • Breast-conserving treatments (BCT) show equivalent efficacy to mastectomy but can lead to cosmetic deformities.
  • These deformities may necessitate further surgical interventions, impacting patient satisfaction.

Purpose of the Study:

  • To describe oncoplastic surgery techniques for breast tumor treatment.
  • To highlight the goal of preserving acceptable breast aesthetics post-tumor removal.

Main Methods:

  • Oncoplastic surgery integrates tumor excision with plastic surgery principles.
  • Techniques are selected based on tumor location (quadrant, nipple-areola complex, inframammary fold), proximity to the nipple, and breast/tumor size.
  • Procedures range from simple breast remodeling to complex modifications altering breast width.

Main Results:

  • Oncoplastic surgery achieves breast shape conservation.
  • Symmetry is addressed during the primary surgery or through subsequent procedures.
  • Minimal touch-up procedures are typically required.

Conclusions:

  • Oncoplastic surgery provides an effective alternative for breast tumor treatment.
  • It enhances cosmetic outcomes compared to traditional BCT, improving patient acceptance.
  • This approach balances oncological safety with aesthetic preservation.