Combining Multiple Oncoplastic Techniques to Facilitate Extreme Oncoplastic Breast Conservation

Area of Science:

• Surgical Oncology
• Plastic Surgery
• Breast Surgery

Background:

• Centers of excellence aim for high breast conservation surgery (BCS) rates due to improved patient satisfaction, survival, and reduced complications compared to mastectomy.
• Advanced surgical techniques are being developed to offer BCS to patients with extensive disease, traditionally candidates for mastectomy.
• Recent studies support the oncological safety of ambitious breast conservation efforts.

Observation:

• "Extreme oncoplasty" involves Wise-pattern volume displacement surgery with immediate reconstruction after excising multifocal or multicentric breast cancer.
• A Wise-pattern "split reduction" technique facilitates cancer excision with clear anterior margins.
• This report details a combined approach using Wise-pattern split reduction, immediate nipple reconstruction, and autologous volume replacement for a challenging BCS case.

Findings:

• The study demonstrates a combined oncoplastic technique for extreme breast conservation in a complex patient scenario.
• This approach integrates Wise-pattern split reduction, immediate nipple reconstruction, and autologous volume replacement.
• The presented surgical strategy aims to achieve oncological safety while maximizing aesthetic outcomes in extensive breast cancer cases.

Implications:

• This detailed surgical approach offers valuable insights for performing complex extreme oncoplasty procedures.
• Successful implementation of these techniques can expand BCS options for patients with extensive breast cancer.
• The combination of techniques may enhance patient satisfaction and reduce the need for mastectomy and subsequent reconstruction.