Increasing Role of Oncoplastic Surgery for Breast Cancer

Area of Science:

• Oncoplastic surgery
• Breast cancer treatment
• Surgical oncology
• Plastic surgery

Background:

• The primary goals of breast cancer surgery are cancer eradication and minimizing deformity.
• Increased long-term survival rates emphasize the importance of cosmetic outcomes post-treatment.
• Both lumpectomy and mastectomy necessitate aesthetic considerations for optimal patient results.

Purpose of the Study:

• To review the evolution and current state of oncoplastic surgery in breast cancer treatment.
• To classify and describe various oncoplastic techniques based on complexity and surgeon expertise.
• To discuss the integration of plastic surgery principles into breast cancer surgery for improved aesthetics.

Main Methods:

• Combination of oncologic and plastic surgery expertise.
• Classification of oncoplastic techniques into lower, upper, and highest levels.
• Review of accumulated data on the safety and efficacy of oncoplastic procedures.

Main Results:

• Oncoplastic surgery effectively combines cancer removal with aesthetic improvement.
• Data demonstrate the safety and efficacy of "aesthetic cancer cure" procedures.
• A tiered approach to oncoplastic techniques is proposed based on surgeon training.

Conclusions:

• Oncoplastic breast cancer procedures are established due to clinical benefits and patient satisfaction.
• Future trends indicate a specialization where plastic surgeons handle complex procedures and breast surgeons adopt simpler techniques.
• Increased educational opportunities for breast surgeons in oncoplastic techniques are crucial for global adoption.