A PICTORIAL REVIEW OF ONCOPLASTIC & RECONSTRUCTIVE BREAST SURGERY

  • Muhammad Asad Parvaiz Department of Breast Surgery, Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore, Pakistan
  • Nicola Roche Department of Breast Surgery, The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT, United Kingdom
  • Jennifer Rusby Department of Breast Surgery, The Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey, SM2 5PT, United Kingdom
  • Steven Goh Department of Breast Surgery, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Bretton Gate, Peterborough, PE3 9GZ, United Kindgom
  • Tapan Sircar Department of Breast Surgery, New Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, WV10 0QP, United Kingdom

Abstract

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

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Published
2018-04-01
How to Cite
1.
Parvaiz MA, Roche N, Rusby J, Goh S, Sircar T. A PICTORIAL REVIEW OF ONCOPLASTIC & RECONSTRUCTIVE BREAST SURGERY. J Cancer Allied Spec [Internet]. 2018Apr.1 [cited 2021Sep.27];4(1). Available from: https://journals.sfu.ca/jcas/index.php/jcas/article/view/168