A Comparison between the Oncological Safety of Oncoplastic and Conventional Conservative Breast Surgery

Abstract Background While arm lymphedema following breast cancer treatment is a common complication; breast lymphedema following treatment is not uncommon. Several risk factors were found to contribute to breast lymphedema, Aim: We aimed to provide a systematic review to help avoiding or management of breast lymphoedema Method The search term 'breast lymphedema' was combined with 'breast conservative surgery' and was used to conduct literature research in PubMed and Medline. The term lymphedema was combined with breast, conservative and surgery to search Embase database. All papers published in English were included with no exclusion date limits Results A total of 2155 female patients were included in this review; age ranged from 26 to 90. Mean BMI was 28.4, most of the studies included patients who underwent conservative breast surgery. Incidence of breast lymphedema ranged from 24.8% to 90.4%. Several risk factors were linked to breast lymphedema after conservative breast surgery, such as body mass index (BMI), breast size, tumour size, tumour site, type of surgery and adjuvant therapy. Treatment options focused on decongestive lymphatic therapy, including Manual lymphatic drainage (MLD), self-massaging, compression bras or Kinesio taping. Conclusions Breast lymphedema is a relatively common complication, yet there is no clear consensus on the definition or treatment options.

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Is Mastectomy Oncologically Safer than Breast-Conserving Treatment in Early Breast Cancer

Breast Care ◽

10.1159/000485737 ◽

2017 ◽

Vol 12 (6) ◽

pp. 385-390 ◽

Cited By ~ 4

Author(s):

Fabian Riedel ◽

André Hennigs ◽

Sarah Hug ◽

Benedikt Schaefgen ◽

Christof Sohn ◽

...

Keyword(s):

Breast Cancer ◽

Breast Surgery ◽

Breast Conservation ◽

Breast Cancer Surgery ◽

Breast Cancer Patients ◽

Aesthetic Outcome ◽

Breast Conserving Treatment ◽

Routine Treatment ◽

Oncological Safety ◽

The Individual

Aim: To describe and discuss the evidence for oncological safety of different procedures in oncological breast surgery, i.e. breast-conserving treatment versus mastectomy. Methods: Literature review and discussion. Results: Oncological safety in breast cancer surgery has many dimensions. Breast-conserving treatment has been established as the standard surgical procedure for primary breast cancer and fits to the preferences of most breast cancer patients concerning oncological safety and aesthetic outcome. Conclusions: Breast-conserving treatment is safe. Nonetheless, the preferences of the individual patients in their consideration of breast conservation versus mastectomy should be integrated into routine treatment decisions.

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The Asessment Methods of Cosmetic Results in Conservative Breast Surgery And The Factors Impacting Cosmetic Outcome

The Journal of Tepecik Education and Research Hospital ◽

10.5222/terh.2010.84429 ◽

2010 ◽

Vol 20 (3) ◽

pp. 113-121

Author(s):

Musa Kılınç ◽

Cem Karaali ◽

Ragıp Kayar ◽

Murat Çobanoğlu ◽

Osman Güngör ◽

...

Keyword(s):

Breast Surgery ◽

Cosmetic Outcome ◽

Cosmetic Results ◽

Conservative Breast Surgery

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Ancillary considerations in breast surgery

10.1093/med/9780199682874.003.0097 ◽

2021 ◽

pp. 1145-1150

Author(s):

Emily G. Clark ◽

Melissa A. Mueller ◽

Gregory R.D. Evans

Keyword(s):

Breast Reconstruction ◽

Breast Surgery ◽

Capsular Contracture ◽

Acellular Dermal Matrix ◽

Fat Grafting ◽

Dermal Matrix ◽

Oncological Safety ◽

Acellular Dermal ◽

Radiographic Changes ◽

Suspicious Lesions

Debated topics and new and evolving techniques in breast surgery are discussed in this chapter. Antibiotics and the use of closed-suction drains vary among surgeons, but the existing evidence favours discontinuation of antibiotics within 24 hours in most cases, and the indications for drains are limited but include breast reconstruction with acellular dermal matrix (ADM). ADM is a biological tissue substitute with many applications in breast surgery. The product selected and surgical technique used are often case specific; cost and patient anatomy play major roles. Although not suitable for all patients, ADM is an asset to prosthetic breast reconstruction. In addition, ADM is useful in the correction of breast surgery complications, including malpositioning and capsular contracture. It may be combined with fat grafting to mask rippling. Fat grafting, or lipomodelling, is an evolving science with promising results. Technique is critical for good results, and is described in this chapter. Radiographic changes after fat grafting are usually discernible from suspicious lesions, and growing evidence supports the oncological safety of this procedure

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Skin Sparing Mastectomy as an Oncoplastic Surgery Technique for Breast Cancer treatment

QJM ◽

10.1093/qjmed/hcaa050.025 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

A M Alanwar ◽

A G Osman ◽

M A Abdelhamed ◽

A N E Ebrahim

Keyword(s):

Breast Cancer ◽

Breast Surgery ◽

Volume Ratio ◽

Radical Mastectomy ◽

Cosmetic Outcome ◽

University Hospitals ◽

Psychological Outcome ◽

Oncoplastic Breast Surgery ◽

Large Tumor ◽

Oncological Safety

Abstract Background The goal of modern breast surgery is to cure patients with preservation of breast tissue as much as possible with satisfactory physical and psychological outcome. This goal has led to introduction of a new scope of surgery into our clinical practice called oncoplastic breast surgery, with the advantage of combining oncological safety and satisfactory cosmetic outcome. Objective To focus on skin sparing mastectomy as a surgical procedure for treatment of breast cancer and to assess outcomes and benefits versus complications. Patients and Methods It was a retrospective analytical study that included 30 patients aiming to clinically assess the skin sparing mastectomy as an oncoplastic technique regarding oncological safety and patient satisfaction. This study was conducted at Ain-Shams University Hospitals. Approval of the Ethical Committee and written informed consent from all participants was obtained. Results In our study 6 patients underwent SSM and 24 Patients underwent NSM owing to high tumor/breast volume ratio. In our study we were able to conduct an very good cosmetic outcome for a relatively large tumor excisions with 66.7% of the cases (20 patients) falling in excellent and very good score. In our study only one of the patients had malignant recurrence as confirmed by the pathologist in our multidisciplinary team proving that we had performed skin sparring mastectomy technique safely from oncological point of view. The follow up of the malignant recurrence was for the first year as this was the time limitation of our study. Conclusion Skin sparing mastectomy has been proven as an alternate to traditional radical mastectomy with the same oncological safety and better cosmetic outcome.

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