scholarly journals A PICTORIAL REVIEW OF ONCOPLASTIC & RECONSTRUCTIVE BREAST SURGERY

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Muhammad Asad Parvaiz ◽  
Nicola Roche ◽  
Jennifer Rusby ◽  
Steven Goh ◽  
Tapan Sircar
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Breast Conservation ◽  
Oncoplastic Surgery ◽  
Complete Excision ◽  
Oncological Safety ◽  
Conservation Treatment ◽  
Pictorial Review ◽  
Breast Conservation Treatment ◽  
Broad Concept

Oncoplastic surgery (OPS) of the breast has revolutionised the surgical practice in the past few years worldwide and has become an integral part of the breast cancer surgical treatment. OPS blends the principals of good local oncological control with plastic surgery techniques for immediate breast reshaping to provide best cosmetic results as well as oncological safety. It helps in extending the boundaries of breast-conservation treatment to include a group of patients who would otherwise require mastectomy to achieve complete excision of the tumour. OPS is a broad concept that can be used for several different combinations of oncological breast-conserving surgery and reconstructive surgery in the form of breast re-shaping/re-modelling. Careful patient selection and pre-operative planning are key components for the success of any OPS operation for breast cancer. Thorough surgical planning is mandatory including clinical assessment and breast measurements with reference to tumour/breast volume ratios. Mastectomy and total breast reconstruction are an option for patients that cannot have breast conservation. In this article, we provide a pictorial review of various oncoplastic and reconstructive breast operations, explaining the indications, essential principles, concepts and techniques of various surgical procedures.Key words: Breast cancer, oncoplastic surgery, breast reconstruction

P47 Breast conservation treatment in women with locallyadvanced breast cancer

The Breast ◽  
2005 ◽  
Vol 14 ◽  
pp. S28-S29
Author(s):  
V. Parmar ◽  
R.A. Badwe ◽  
R. Sarin ◽  
R. Jalali ◽  
R. Chinoy ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Conservation ◽  
Conservation Treatment ◽  
Breast Conservation Treatment

What Is Achieved by Mammographic Surveillance After Breast Conservation Treatment for Breast Cancer?

2002 ◽  
Vol 57 (3) ◽  
pp. 159-160
Author(s):  
Fawzia Ashkanani ◽  
Tarun Sarkar ◽  
Gillian Needham ◽  
Adam Coldwells ◽  
Antoine K. Ah-See ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Conservation ◽  
Conservation Treatment ◽  
Breast Conservation Treatment

Late Cardiac Mortality and Morbidity in Early-Stage Breast Cancer Patients After Breast-Conservation Treatment

2006 ◽  
Vol 24 (25) ◽  
pp. 4100-4106 ◽  
Author(s):  
Eleanor E.R. Harris ◽  
Candace Correa ◽  
Wei-Ting Hwang ◽  
Jessica Liao ◽  
Harold I. Litt ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Myocardial Infarction ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Breast Conservation ◽  
Cardiac Mortality ◽  
Mortality And Morbidity ◽  
Conservation Treatment ◽  
Breast Conservation Treatment ◽  
Artery Disease

Purpose Several studies have reported increased cardiac mortality related to the use of left-sided breast or chest-wall irradiation. This study was undertaken as a comprehensive examination of the long-term cardiac mortality and morbidity after breast irradiation using contemporary irradiation techniques. Methods The medical records of 961 consecutive patients presenting between 1977 and 1994 with stage I or II breast cancer treated with breast conservation treatment were reviewed. Data was recorded on baseline pretreatment patient, tumor and treatment characteristics and on subsequent cancer or cardiac related events. The median follow-up time was 12 years. Results There was no difference in overall mortality from any cardiac cause (P = .25). Death from any cardiac cause occurred in 2% of right-sided patients and 3.5% of left-sided patients. However, in the second decade after treatment, there was a higher rate of cardiac deaths in left-sided patients, with a cumulative risk of 6.4% (95% CI, 3.5% to 11.5%) for left-sided compared with 3.6% (95% CI, 1.8% to 7.2%) for right-sided patients at 20 years. There were statistically higher rates of chest pain, coronary artery disease, and myocardial infarction diagnosed in left-sided patients (all P ≤ .002). The presence of hypertension was associated with a higher risk of coronary artery disease in left-sided patients. Conclusion Irradiation to the left breast is not associated with a higher risk of cardiac death up to 20 years after treatment, but is associated with an increased rate of diagnoses of coronary artery disease and myocardial infarction compared with right breast treatment.

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