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Annals of Surgical Oncology

, Volume 17, Supplement 3, pp 242–244 | Cite as

How I Do It: Oncoplastic Breast-Conservation Surgery

  • Melvin J. SilversteinEmail author
American Society of Breast Surgeons

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?”

The goals of oncoplastic breast conservation surgery include:
  1. 1.

    Complete removal of the lesion

     
  2. 2.

    Clear margins, the larger the better

     
  3. 3.

    Good to excellent cosmetic result

     
  4. 4.

    Operating one time to perform the definitive...

Keywords

Breast Biopsy Breast Magnetic Resonance Imaging Clear Margin Reduction Mammoplasty Oncoplastic Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (MOV 24717 kb)

References

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    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
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    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
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    Silverstein M. Where’s the outrage. J Am Coll Surg. 2009;208:78–79.CrossRefPubMedGoogle Scholar

Copyright information

© Society of Surgical Oncology 2010

Authors and Affiliations

  1. 1.Hoag Hospital Breast ProgramHoag Memorial Hospital PresbyterianNewport BeachUSA
  2. 2.Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA

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