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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Oncoplastic Surgery: Where Are We Now?

Patricia Clark¹, Ashley DiPasquale², Daniela Cocco³

¹Parkview Packnett Family Cancer Institute, Fort Wayne, Indiana, USA.

Journal of Surgical Oncology

|November 22, 2024

Summary

This summary is machine-generated.

Oncoplastic surgery (OPS) combines breast cancer removal with plastic surgery techniques to improve cosmetic outcomes after breast conservation therapy (BCT). This review explores OPS principles, techniques, and challenges.

Keywords:

breast cancer breast conservation oncoplastic breast surgery oncoplasty partial mastectomy

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Area of Science:

Surgical Oncology
Plastic Surgery
Breast Cancer Treatment

Background:

Breast conservation therapy (BCT) emerged in the 1970s as a viable alternative to mastectomy.
Early BCT techniques often led to undesirable aesthetic results, impacting patient satisfaction.
The integration of plastic surgery principles aimed to mitigate these deformities.

Observation:

The term 'oncoplastic surgery' (OPS) was coined in the 1990s, signifying a new approach.
Surgeons started incorporating advanced techniques to enhance cosmetic outcomes post-BCT.
This evolution addressed the limitations of traditional breast-conserving surgeries.

Findings:

OPS merges oncological safety with aesthetic reconstruction.
Key principles involve tailored surgical planning and execution.
Current techniques range from simple breast lifts to complex reconstructions.

Implications:

OPS significantly improves patient quality of life and body image after breast cancer treatment.
Broader adoption of OPS faces challenges, including training and multidisciplinary collaboration.
Future directions focus on standardizing techniques and expanding accessibility.