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Updated: Jul 23, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Oncoplastic and reconstructive breast surgery.

Primeera Wignarajah1,2, Charles M Malata2,3,4, John R Benson2,4

  • 1Department of Breast Surgery, Royal Marsden Hospital NHS Trust, London, United Kingdom.

Frontiers in Oncology
|July 14, 2023
PubMed
Summary
This summary is machine-generated.

Oncoplastic breast surgery (OPBS) offers breast conservation by enabling wider tumor removal and partial reconstruction. This approach integrates surgical techniques with other cancer treatments for optimal patient outcomes.

Keywords:
autologous free flapbreast implantsbreast reconstructionfat graftingnipple sparing mastectomyoncoplastic breast surgery

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Breast Surgery

Background:

  • Early-stage breast cancer management increasingly utilizes breast-conserving techniques.
  • Oncoplastic breast surgery (OPBS) represents an advancement over traditional breast-conserving surgery.
  • Partial breast reconstruction is a key component of OPBS, allowing for wider tumor resection.

Purpose of the Study:

  • To provide an overview of the principles and techniques in oncoplastic and reconstructive breast surgery.
  • To highlight the integration of OPBS with ablative surgery and adjuvant therapies.
  • To emphasize the importance of a multidisciplinary approach for optimal patient outcomes.

Main Methods:

  • Review of principles and techniques in oncoplastic and reconstructive breast surgery.
  • Discussion of the integration of reconstructive techniques with ablative surgery.
  • Emphasis on the role of non-surgical treatments (radiotherapy, chemotherapy) and their sequencing.
  • Highlighting the necessity of a multidisciplinary team and shared decision-making.

Main Results:

  • OPBS permits wider tumor resection, potentially avoiding mastectomy.
  • Optimal selection and integration of reconstructive techniques are crucial.
  • Adjuvant therapies (radiotherapy, chemotherapy) must be coordinated with surgical treatment.
  • A multidisciplinary approach ensures comprehensive outcomes.

Conclusions:

  • OPBS is an evolution of breast-conserving surgery, enhancing oncological and aesthetic results.
  • Successful OPBS requires careful planning, integration of treatments, and patient-centered decision-making.
  • Future OPBS practice should include routine auditing and outcome evaluation.