Conservative and radical oncoplastic approches in the surgical treatment of breast cancer.

Gianluca Franceschini, Daniela Andreina Terribile, Marzia Salgarello, Riccardo Masetti, Stefano Magno, Maria Cristina Fabbri, Federica Chiesa, Alba Di Leone, Francesca Moschella, Ilaria Scafetta, Assunta Scaldaferri, Simona Maria Fragomeni, Liliana Barone Adesi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

29 Citazioni (Scopus)

Abstract

In the attempt to optimise the balance between the risk of local recurrence and the cosmetic outcomes in breast surgery, new surgical procedures, so-called oncoplastic techniques, have been introduced in recent years. The term oncoplastic surgery refers to surgery on the basis of oncological principles during which the techniques of plastic surgery are used, mostly for reconstructive and cosmetic reasons. The advantage of the oncoplastic surgery for breast cancer is the possibility of performing a wider excision of the tumour with a good cosmetic result. Oncoplastic surgery is a broad concept that can be used for several different combinations of oncological surgery and plastic surgery: excision of the tumour by reduction mammoplasty, tumour excision followed by remodelling mammoplasty, mastectomy with immediate reconstruction of the breast and partial mastectomy with reconstruction. Careful patient selection and preoperative planning are key components for the success of any oncoplastic operation for breast cancer. Accurate preoperative evaluation of the clinical and biological features of the tumour as well as of the morphological aspects of the breast allow the surgeon to make a decision if a conservative or radical approach is preferable and select the most effective oncoplastic surgical technique. In this review we summarise the indications, advantages and limitations of several oncoplastic procedures.
Lingua originaleEnglish
pagine (da-a)387-396
Numero di pagine10
RivistaEuropean Review for Medical and Pharmacological Sciences
Volume2008
Stato di pubblicazionePubblicato - 2008

Keywords

  • breast
  • cancer
  • oncoplastic
  • surgery

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