Oncoplastic surgery (OP) is a major breakthrough in breast cancer surgery after sentinel lymph node consolidation. Approximately 30% of breast-conserving surgery (BCS) in the traditional model present late esthetic results considered unsatisfactory by patients and also have variable rates of reoperation due to compromised margins. The adoption of preventive measures with the integration of breast plastic surgery techniques into oncological surgery can modify this reality. Thus, OP is based on three fundamental principles: optimal cancer surgery, immediate contralateral homolateral reconstruction, and remodeling. This concept, initially limited to BCS, is also being applied in the immediate reconstruction after mastectomies with preservation of the skin and preservation of the nipple and areola complex (NAC).
KeywordsBreast cancer surgery Oncoplastic techniques Esthetical outcomes Local recurrence Margins
- 2.Losken A, Dugal CS, Styblo TM, Carlson GW. A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. 2014;72(2):145–9. A unicentric study comparing the results of classical quadrantectomy with those of oncoplastic surgery in terms of surgical margins. The superiority of oncoplastic surgery was demonstrated in terms of oncological radicality. CrossRefGoogle Scholar
- 3.Rietjens M, Urban CA, Rey PC, et al. Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast. 2007;16:387–95. A retrospective cohort study that demonstrated a rate of local recurrence with oncoplastic surgery in DCIS and t1 lower than those found in conservative surgery. CrossRefGoogle Scholar
- 4.Santos G, Urban C, Edelweiss MI, Zucca-Matthes G, Oliveira VM, Arana GH, et al. Long-term comparison of aesthetical outcomes after oncoplastic surgery and lumpectomy in breast cancer patients. Ann Surg Oncol. 2015;22:2500–8. A study comparing the results of conservative surgery with oncoplastic surgery in terms of aesthetic results and quality of life. CrossRefGoogle Scholar