Advanced breast conservation and partial breast reconstruction – a review of current available options for oncoplastic breast surgery

2021 ◽  
Author(s):  
L Alder ◽  
M Zaidi ◽  
B Zeidan ◽  
FAK Mazari
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Breast Conservation ◽  
Advanced Breast ◽  
Oncoplastic Breast Surgery

Trends in oncoplastic breast surgery and breast reconstruction over the past 35 years

2017 ◽  
Vol 24 (3) ◽  
pp. 432-434 ◽  
Author(s):  
Ruffo Freitas-Junior ◽  
Sara Socorro Faria ◽  
Régis Resende Paulinelli ◽  
Edésio Martins
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Oncoplastic Breast Surgery ◽  
The Past

scholarly journals Oncoplastic Approaches to Breast Conservation

2011 ◽  
Vol 2011 ◽  
pp. 1-16 ◽  
Author(s):  
Dennis R. Holmes ◽  
Wesley Schooler ◽  
Robina Smith
Keyword(s):  
Breast Cancer ◽  
Multidisciplinary Approach ◽  
Breast Surgery ◽  
Breast Conservation ◽  
Surgical Techniques ◽  
Tumor Location ◽  
Surgical Approaches ◽  
Oncoplastic Breast Surgery ◽  
Body Habitus ◽  
Skill Sets

When a woman is diagnosed with breast cancer many aspects of her physical, emotional, and sexual wholeness are threatened. The quickly expanding field of oncoplastic breast surgery aims to enhance the physician commitment to restore the patient's image and self-assurance. By combining a multidisciplinary approach to diagnosis and treatment with oncoplastic surgery, successful results in the eyes of the patient and physician are significantly more likely to occur. As a way to aid oncoplastic teams in determining which approach is most suitable for their patient's tumor size, tumor location, body habitus, and desired cosmetic outcome we present a review of several oncoplastic surgical approaches. For resections located anywhere in the breast, theradial ellipse segmentectomy incisionandcircumareolar approach for segmental resectionare discussed. For resections in the upper or central breast,crescent mastopexy, thebatwing incision, thehemibatwing incision,donut mastopexy,B-flap resection, and thecentral quadrantectomyare reviewed. For lesions of the lower breast, thetriangle incision,inframammary incision, andreduction mastopexyare discussed. Surgeons who are interested in adding oncoplastic breast conserving therapies to their skill sets are encouraged to implement these surgical techniques where applicable and to seek out breast fellowships or enhanced training when appropriate.

scholarly journals Oncoplastic breast surgery technique for retroareolar breast cancer: a technical modification of the Grisotti flap in patients with short nipple to inferior mammary crease distance

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Miguel Johnson ◽  
Lorna Cook ◽  
Fabio I Rapisarda ◽  
Dibendu Betal ◽  
Riccardo Bonomi
Keyword(s):  
Breast Cancer ◽  
Primary Closure ◽  
Breast Surgery ◽  
Breast Conservation ◽  
Original Description ◽  
Breast Conservation Surgery ◽  
Oncoplastic Breast Surgery ◽  
Nipple Areolar Complex ◽  
Areolar Complex ◽  
Conservation Surgery

ABSTRACT The introduction of breast conservation surgery together with advances in oncoplastic techniques has revolutionized the management of retroareolar breast tumours. Traditionally, cancers in this location were often managed with central excision and primary closure or mastectomy. More recently, oncoplastic breast-conserving techniques such as the Grisotti mammoplasty have been increasingly encouraged as an alternative option as it allows oncological safe margin resections while restoring cosmesis. The use of a Grisotti flap enables safe resection of a retroareolar tumour with concurrent reconstruction of the defect using a local rotational advancement dermoglandular flap allowing a satisfactory cosmetic result in term of contour and projection. This technique is often limited to those patients with sufficient native nipple-inferior mammary fold (IMF) distance to accommodate for some inevitable post-operative reduction in this distance. We describe a modification of the original description, such that satisfactory cosmetic outcome can be achieved, even in patients with a short nipple areolar complex to inframammary fold distance.

scholarly journals Thoracodorsal Artery Perforator and Superior Epigastric Artery Perforator Flaps for Volume Replacement Oncoplastic Breast Surgery

2019 ◽  
Vol 52 (03) ◽  
pp. 304-308
Author(s):  
Dushyant Jaiswal ◽  
Prabha Subhash Yadav ◽  
Vinay Kant Shankhdhar ◽  
Tasneem Jaffer Belgaumwala
Keyword(s):  
Breast Surgery ◽  
Breast Conservation ◽  
Volume Replacement ◽  
Partial Mastectomy ◽  
Perforator Flaps ◽  
Oncoplastic Breast Surgery ◽  
Skin Paddle ◽  
Epigastric Artery ◽  
Thoracodorsal Artery ◽  
Artery Perforator

Abstract Introduction Breast conservation therapy (BCT) and oncoplastic breast surgery (OBS) are now established modalities of treatment for breast cancer, with proven oncological safety. Traditionally, latissimus dorsi (LD) flaps have been the one-stop solution workhorse when volume replacement is needed. We present our experience with thoracodorsal artery perforator (TDAP) and superior epigastric artery perforator (SEAP) flaps. These flaps allow the preservation of muscle structure and function. Material and Methods Data were collected prospectively of patients in whom pedicled perforator flaps after BCT were used. A handheld 8-MHz audio Doppler was used to locate the perforators. TDAP flaps were used in four patients, whereas SEAP flaps were used in two patients. Skin paddle sizes ranged from 10 × 3 cm to 21 × 7 cm. Results TDAP flaps were used in four patients, whereas SEAP flaps were used in two patients All flaps survived. No flap had partial necrosis or fat necrosis. All donor sites were closed primarily and healed uneventfully, and none had a seroma requiring aspiration. Conclusion TDAP flaps can be selectively employed when the LD muscle function needs to be preserved. SEAP flaps can also be employed as a rare option in case of lower inner quadrant defects. Pedicled perforator flaps are a useful and reliable option for volume replacement OBS in select patients for reconstructing partial mastectomy defects.

Onkoplasztikai szemlélet az emlőrák sebészetében – új kihívás a jövő emlősebészeinek?r

2008 ◽  
Vol 61 (1) ◽  
pp. 5-11 ◽  
Author(s):  
László ifj Romics ◽  
Eva Weiler-Mithoff ◽  
Timothy G. Cooke ◽  
W. David George
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Breast Conserving Surgery ◽  
Reduction Mammoplasty ◽  
Oncoplastic Breast Surgery

Absztrakt Az összefoglaló értekezésben a szerzők ismertetik az emlősebészet új irányzatának, az onkoplasztikai emlősebészetnek a jelenlegi lehetőségeit és leggyakrabban alkalmazott műtéti technikáit. A medline és pubmed rendszerbeni keresés a következő kulcsszavakkal és keresztreferenciákkal történt: “oncoplastic breast surgery”, “breast reconstruction”, “breast conserving surgery” és “reduction mammoplasty”. Csak az angol nyelvű összefoglaló, valamint eredeti közleményeket és hivatkozásaikat dolgoztuk fel. Az irodalomban meglepően heterogének az onkoplasztikai emlősebészet műtéti módszerei. A lokális lebenyekkel történő parciális emlőrekonstrukció megfelelő indikációs körrel történő alkalmazása jelentősen javítja az emlőmegtartó műtetek esztétikai eredményét. A más testtájról származó lebenyekkel történő parciális és teljes emlőrekonstrukciós beavatkozások az előzőknél jóval bonyolultabbak, elvégzésük a lehetőségekhez képest legjobb esztétikai eredmény elérése érdekében jelentős emlő-onkoplasztikai képzés nélkül nem ajánlott. A szabad lebenyekkel történő emlőpótlás a plasztikai sebész szakorvos, nem pedig az onkológiai emlősebész feladata. Következtetésként megállapítható, hogy az emlőrák sebészi kezelésében az onkoplasztikai szemlélet elsajátítása kulcsfontosságú lesz a jövő emlősebészei számára. Az onkoplasztikai emlősebészek képzése interdiszciplináris feladat, melynek lényege az emlő sebészeti onkológiai alapelveinek és az esztétikai/rekonstruktív emlősebészet lényegének ötvözése.

The effectiveness of simultaneous oncoplastic breast surgery in patients with locally advanced breast cancer

Breast Cancer ◽  
2015 ◽  
Vol 23 (3) ◽  
pp. 463-470 ◽  
Author(s):  
Mustafa Emiroglu ◽  
Ismail Sert ◽  
Cem Karaali ◽  
Süleyman Ozkan Aksoy ◽  
Levent Ugurlu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Advanced Breast Cancer ◽  
Breast Surgery ◽  
Locally Advanced Breast Cancer ◽  
Locally Advanced ◽  
Advanced Breast ◽  
Oncoplastic Breast Surgery
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