How I Do It: Oncoplastic Breast-Conservation Surgery
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Oncoplastic breast-conservation surgery is a new paradigm. It is the next sentinel node biopsy or balloon brachytherapy. It will soon become patient driven and demanded. If surgeons do not offer it, their patients will drift away to surgeons who do.
Oncoplastic breast-conservation surgery combines oncologic principles with plastic surgical techniques, but it is much more than a combination of two disciplines; it is a philosophy that requires vision, passion, knowledge of anatomy, and appreciation and understanding of esthetics, symmetry, and breast function. The oncoplastic surgeon must be constantly thinking, “How can I remove this cancer with wide margins of normal tissue while at the same time make the patient look as good or better than she looks now?”
Complete removal of the lesion
Clear margins, the larger the better
Good to excellent cosmetic result
Operating one time to perform the definitive...
KeywordsBreast Biopsy Breast Magnetic Resonance Imaging Clear Margin Reduction Mammoplasty Oncoplastic Surgery
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- 2.Silverstein MJ. The Van Nuys Breast Center—the first free-standing multidisciplinary breast center. Surg Oncol Clin North Am. 2000;9(2):159–75.Google Scholar
- 3.Silverstein MJ, et al. The breast center—a multidisciplinary model. In: Paterson AHG, Lees LA, editors. Fundamental problems in breast cancer. Boston: Martinus Nijhoff; 1987, p. 47–58.Google Scholar
- 5.Silverstein MJ, et al. Image-detected breast cancer: state-of-the-art diagnosis and treatment. J Am Coll Surg. 2009;209(4):504–520.Google Scholar