Oncoplastic Breast Reconstruction in Conservation Surgery: Steps to Follow for a Successful Work

  • Gianluca FranceschiniEmail author
  • Riccardo Masetti
Letter to the Editor

Dear Editor,

I read with interest the work of Santosh N. Mathapati and colleagues [1] and would like to add some useful information for the surgeons in the decision-making about oncoplastic breast conservation surgery (OBCS) to optimize oncological and cosmetic outcomes.

Oncoplastic techniques are being used with increasing frequency in the multidisciplinary treatment of patients with operable breast cancer. The diffusion of this procedure comes from reported data that seem to indicate higher oncological safety and better cosmetic efficacy [1, 2, 3, 4, 5].

Many reports indicate that there are a range of possible benefits associated with the use of OBCS [ 2, 3, 4, 5, 6, 7, 8]:
  • It may allow wider excision of the tumor with safer margins and reduced cosmetic penalties.

  • It may avoid the need for mastectomy in a number of patients, without compromising local control. The patient avoids more extensive surgery and the higher complication rate and greater morbidity associated with total...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.


  1. 1.
    Mathapati SN, Goel A, Mehta S, Aggarwal J, Aravindan R, Nayak V, Panda SK, Pande PK, Kumar K (2019) Oncoplastic breast reconstruction in breast conservation surgery: improving the oncological and aesthetic outcomes. Indian J Surg Oncol 10:303–308. CrossRefGoogle Scholar
  2. 2.
    Niinikoski L, Leidenius MHK, Vaara P, Voynov A, Heikkilä P, Mattson J, Meretoja TJ (2019) Resection margins and local recurrences in breast cancer: comparison between conventional and oncoplastic breast conserving surgery. Eur J Surg Oncol 45:976–982CrossRefGoogle Scholar
  3. 3.
    (NCCN) (2019) Clinical practice guidelines in oncology. Breast Cancer (NCCN Guidelines) Version .2019 – March.
  4. 4.
    Weber WP, Soysal SD, El-Tamer M, Sacchini V, Knauer M, Tausch C, Hauser N, Günthert A, Harder Y, Kappos EA, Schwab F, Fitzal F, Dubsky P, Bjelic-Radisic V, Reitsamer R, Koller R, Heil J, Hahn M, Blohmer JU, Hoffmann J, Solbach C, Heitmann C, Gerber B, Haug M, Kurzeder C (2017 Aug) First international consensus conference on standardization of oncoplastic breast conserving surgery. Breast Cancer Res Treat 165(1):139–149CrossRefGoogle Scholar
  5. 5.
    Clough KB, van la Parra RFD, Thygesen HH, Levy E, Russ E, Halabi NM, Sarfati I, Nos C (2018) Long-term results after oncoplastic surgery for breast cancer: a 10-year follow-up. Ann Surg 268(1):165–171CrossRefGoogle Scholar
  6. 6.
    Franceschini G, Terribile D, Magno S, Fabbri C, Accetta C, Di Leone A, Moschella F, Barbarino R, Scaldaferri A, Darchi S, Carvelli ME, Bove S, Masetti R (2012) Update on oncoplastic breast surgery. Eur Rev Med Pharmacol Sci 16(11):1530–1540Google Scholar
  7. 7.
    Franceschini G, Magno S, Fabbri C, Chiesa F, Di Leone A, Moschella F, Scafetta I, Scaldaferri A, Fragomeni S, Adesi Barone L, Terribile D, Salgarello M, Masetti R (2008) Conservative and radical oncoplastic approches in the surgical treatment of breast cancer. Eur Rev Med Pharmacol Sci 12(6):387–396Google Scholar
  8. 8.
    Masetti R, Di Leone A, Franceschini G, Magno S, Terribile D, Fabbri MC, Chiesa F (2006) Oncoplastic techniques in the conservative surgical treatment of breast cancer: an overview. Breast J 12(5 Suppl 2):S174–S180CrossRefGoogle Scholar
  9. 9.
    Masetti R, Pirulli PG, Magno S, Franceschini G, Chiesa F, Antinori A (2000) Oncoplastic techniques in the conservative surgical treatment of breast cancer. Breast Cancer 7(4):276–280CrossRefGoogle Scholar
  10. 10.
    Mitchell SD (2017) A step-by-step oncoplastic breast conservation surgical atlas of reproducible dissection techniques and anatomically ideal incision placement. Breast Cancer Res Treat 165(3):505–516CrossRefGoogle Scholar
  11. 11.
    Kopkash K, Clark P (2018) Basic oncoplastic surgery for breast conservation: tips and techniques. Ann Surg Oncol 25(10):2823–2828CrossRefGoogle Scholar

Copyright information

© Indian Association of Surgical Oncology 2019

Authors and Affiliations

  1. 1.Division of Breast Surgery, Department of Women’s and Children’s Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCSUniversità Cattolica del Sacro CuoreRomeItaly

Personalised recommendations