[Oncoplasty and immediate breast reconstruction]

Area of Science:

• Surgical Oncology
• Plastic Surgery
• Breast Surgery

Context:

• Oncoplasty techniques are increasingly adopted in clinical practice for breast cancer treatment.
• These procedures are tailored to various breast volumes and tumor locations.
• Oncoplasty offers an alternative to mastectomy, necessitating clear patient information.

Purpose:

• To summarize the benefits and considerations of oncoplasty in breast cancer surgery.
• To highlight the role of oncoplasty in reducing reoperation rates and maintaining survival outcomes.
• To discuss the integration of immediate breast reconstruction with oncoplasty and mastectomy.

Summary:

• Oncoplasty surgery, adapted for tumor specifics, reduces reoperation rates and achieves survival outcomes equivalent to standard conservative surgeries.
• It provides a viable alternative to mastectomy, requiring informed patient consent regarding therapeutic implications.
• Immediate breast reconstruction is increasingly feasible post-mastectomy, even with adjuvant therapies, with implant-based and autologous (lipomodeling) techniques available.

Impact:

• Oncoplasty improves local control and cosmetic results, potentially enhancing patient quality of life.
• It empowers patients by offering choices between breast-conserving surgery and mastectomy with reconstruction.
• Advancements in reconstruction techniques, like lipomodeling, minimize the need for implants and associated complications.