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Oncoplastic and Reconstructive Anatomy of the Breast

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Oncoplastic and Reconstructive Breast Surgery

Abstract

Breast cancer surgery has gone through various changes and become more complex and biologically individualized. Although concern with local control of disease still persists, this is currently associated with an aesthetic–functional concept. Therefore, breast anatomy in the way it is traditionally approached needs updating. Form, volume, inframammary fold, height, and breast projection as well as the size and shape of the nipple and areola complex, liposubstitution level, and ptosis are some of the points concerning surface anatomy that have acquired more importance within the oncoplastic and reconstructive context. Similarly, the abdominal wall and the dorsal structure of the thorax must be part of the surgeon`s background, as one needs to have a full reconstructive and oncoplastic view in order to make more suitable surgical decisions. In this way, aesthetic–functional breast anatomy is essential to reconstructive breast cancer surgery. The spatial organization of the mammary ducts, the vascularization, and the innervation have relevant therapeutic implications in the era of sentinel node and oncoplastic surgery, so the reconstructive breast surgeon must be aware of all of these anatomic relationships. It is within such a perspective that this chapter has been developed.

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Authors and Affiliations

  1. Oncoplastic and Reconstructive Division, Breast Unit, Hospital Nossa Senhora das Graças, Positivo University, Curitiba, Brazil

    Cicero Urban

  2. Division of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy

    Mario Rietjens

  3. Breast Unit, Hospital Nossa Senhora das Graças, Curitiba, Brazil

    Flavia Kuroda

  4. Department of Breast Surgery, Chambersburg Hospital, Chambersburg, USA

    James Hurley II

Authors
  1. Cicero Urban
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  2. Mario Rietjens
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  3. Flavia Kuroda
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  4. James Hurley II
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Corresponding author

Correspondence to Cicero Urban .

Editor information

Editors and Affiliations

  1. , BreastUnit, Hospital Nossa Senhora das Gracas, Rua Padre Agostinho 913 ap 51, Curitiba, 80430050, Brazil

    Cicero Urban

  2. , Plastic and Reconstructive Division, European Institute of Oncology, Via Ripamonti, 435, Milan, 20100, Italy

    Mario Rietjens

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© 2013 Springer-Verlag Italia

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Urban, C., Rietjens, M., Kuroda, F., Hurley, J. (2013). Oncoplastic and Reconstructive Anatomy of the Breast. In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_2

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_2

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2651-3

  • Online ISBN: 978-88-470-2652-0

  • eBook Packages: MedicineMedicine (R0)

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