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Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast.
J Breast Cancer 2011; 14(4):253-61JB

Abstract

Oncoplastic surgery has revolutionized the field of breast conserving surgery (BCS). The final aims of this technique are to obtain an adequate resection margin that will reduce the rate of local recurrence while simultaneously improving cosmetic outcomes. To obtain successful results after oncoplastic surgery, it is imperative that patients be risk-stratified based on risk factors associated with positive margins, that relevant imaging studies be reviewed, and that the confirmation of negative margins be confirmed during the initial operation. Patients who had small- to moderate-sized breasts are the most likely to be dissatisfied with the cosmetic outcome of surgery, even if the defect is small; therefore, oncoplastic surgery in this population is warranted. Reconstruction of the remaining breast tissue is divided into volume displacement and volume replacement techniques. The use of the various oncoplastic surgeries is based on tumor location and excised breast volume. If the excised volume is less than 100 g, the tumor location is used to determine which technique should be used, with the most commonly used technique being volume displacement. However, if the excised volume is greater than 100 g, the volume replacement method is generally used, and in cases where more than 150 g is excised, the latissimus dorsi myocutaneous flap may be used to obtain a pleasing cosmetic result. The local recurrence rate after oncoplastic surgery was lower than that of conventional BCS, as oncoplastic surgery reduced the rate of positive resection margins by resecting a wider section of glandular tissue. If the surgeon understands the advantages and disadvantages of oncoplastic surgery, and the multidisciplinary breast team is able to successfully collaborate, then the success rate of BCS with partial breast reconstruction can be increased while also yielding a cosmetically appealing outcome.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Kyungpook National University College of Medicine, Daegu, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22323910

Citation

Yang, Jung Dug, et al. "Oncoplastic Surgical Techniques for Personalized Breast Conserving Surgery in Breast Cancer Patient With Small to Moderate Sized Breast." Journal of Breast Cancer, vol. 14, no. 4, 2011, pp. 253-61.
Yang JD, Lee JW, Kim WW, et al. Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast. J Breast Cancer. 2011;14(4):253-61.
Yang, J. D., Lee, J. W., Kim, W. W., Jung, J. H., & Park, H. Y. (2011). Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast. Journal of Breast Cancer, 14(4), pp. 253-61. doi:10.4048/jbc.2011.14.4.253.
Yang JD, et al. Oncoplastic Surgical Techniques for Personalized Breast Conserving Surgery in Breast Cancer Patient With Small to Moderate Sized Breast. J Breast Cancer. 2011;14(4):253-61. PubMed PMID: 22323910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast. AU - Yang,Jung Dug, AU - Lee,Jeong Woo, AU - Kim,Wan Wook, AU - Jung,Jin Hyang, AU - Park,Ho Yong, Y1 - 2011/12/27/ PY - 2011/12/05/received PY - 2011/12/15/accepted PY - 2012/2/11/entrez PY - 2012/2/11/pubmed PY - 2012/2/11/medline KW - Defect KW - Oncoplastic surgery KW - Personalized KW - Personalized medicine KW - Repairing SP - 253 EP - 61 JF - Journal of breast cancer JO - J Breast Cancer VL - 14 IS - 4 N2 - Oncoplastic surgery has revolutionized the field of breast conserving surgery (BCS). The final aims of this technique are to obtain an adequate resection margin that will reduce the rate of local recurrence while simultaneously improving cosmetic outcomes. To obtain successful results after oncoplastic surgery, it is imperative that patients be risk-stratified based on risk factors associated with positive margins, that relevant imaging studies be reviewed, and that the confirmation of negative margins be confirmed during the initial operation. Patients who had small- to moderate-sized breasts are the most likely to be dissatisfied with the cosmetic outcome of surgery, even if the defect is small; therefore, oncoplastic surgery in this population is warranted. Reconstruction of the remaining breast tissue is divided into volume displacement and volume replacement techniques. The use of the various oncoplastic surgeries is based on tumor location and excised breast volume. If the excised volume is less than 100 g, the tumor location is used to determine which technique should be used, with the most commonly used technique being volume displacement. However, if the excised volume is greater than 100 g, the volume replacement method is generally used, and in cases where more than 150 g is excised, the latissimus dorsi myocutaneous flap may be used to obtain a pleasing cosmetic result. The local recurrence rate after oncoplastic surgery was lower than that of conventional BCS, as oncoplastic surgery reduced the rate of positive resection margins by resecting a wider section of glandular tissue. If the surgeon understands the advantages and disadvantages of oncoplastic surgery, and the multidisciplinary breast team is able to successfully collaborate, then the success rate of BCS with partial breast reconstruction can be increased while also yielding a cosmetically appealing outcome. SN - 2092-9900 UR - https://www.unboundmedicine.com/medline/citation/22323910/Oncoplastic_surgical_techniques_for_personalized_breast_conserving_surgery_in_breast_cancer_patient_with_small_to_moderate_sized_breast_ L2 - https://ejbc.kr/DOIx.php?id=10.4048/jbc.2011.14.4.253 DB - PRIME DP - Unbound Medicine ER -