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Plastic Deformations01:19

Plastic Deformations

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Plastic deformation represents a fundamental concept in materials science, which explains the irreversible change in the shape of a material when it experiences stress beyond its elastic capability. This phenomenon is important in structural engineering, especially in designing and analyzing cantilever beams—structures that are securely fixed at one end and bear loads at the opposite end. When these beams are subjected to loads within their elastic range, they will return to their...
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Non-enzymatic, Serum-free Tissue Culture of Pre-invasive Breast Lesions for Spontaneous Generation of Mammospheres
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Moulding Breasts, Shaping Lives: Propagating Oncoplastic Surgery.

Gokul R Krishnan1, Syam Vikram1, Deepak Damodaran1

  • 1Department of Surgical Oncology, MVR Cancer Centre and Research Institute, Kozhikode, Kerala India.

Indian Journal of Surgical Oncology
|March 21, 2025
PubMed
Summary

Oncoplastic breast surgery evolved from radical approaches to a balanced approach, enhancing breast conservation rates. This study details strategies for popularizing oncoplastic breast surgery in a tertiary cancer center.

Keywords:
Breast conservation surgeryBreast reconstructionExtreme oncoplastyMammoplastyOncoplastic breast surgery

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Area of Science:

  • Surgical Oncology
  • Breast Cancer Management
  • Reconstructive Surgery

Background:

  • Breast cancer surgery has evolved from radical mastectomy to breast conservation.
  • Oncoplastic surgery integrates oncological principles with plastic surgery techniques for improved outcomes.
  • This evolution aims to balance cancer removal with aesthetic results.

Purpose of the Study:

  • To elaborate on the factors driving the evolution of oncoplastic surgery.
  • To ascertain the breast conservation rate at a tertiary cancer center in Kerala, India.
  • To audit the types of oncoplastic procedures performed.

Main Methods:

  • Retrospective analysis of a prospective database from July 2017 to July 2023.
  • Inclusion of all breast cancer surgeries (curative and palliative resections).
  • Detailed audit of breast conservation surgeries and oncoplastic procedures.

Main Results:

  • A total of 3036 breast surgeries were performed, with 2850 curative resections.
  • Breast conservation rate was 69.5% (1980 breast conservation surgeries vs. 870 mastectomies).
  • 1950 oncoplastic procedures were performed (1158 Level I, 593 Level II, 199 Level III), with 30 requiring volume replacement techniques.

Conclusions:

  • Oncoplastic surgery has become a mainstay in breast cancer management.
  • A concerted effort involving patient counseling, departmental training, and workshops popularized oncoplastic breast surgery.
  • The strategies employed can guide other centers in adopting and popularizing oncoplastic breast surgery.