In a BCT, the focus is on an oncologically safe local resection following radiation therapy. Oncoplastic surgery includes wider margins and a partial mastectomy to (1) allow better local oncologic control. (2) The breast is shaped to improve the aesthetic outcome, which includes (3) the contralateral side, as symmetry is an essential part of breast aesthetics. (4) Some studies advocate a primary reconstruction of the breast avoiding cavities which in turn lead to better results after radiation therapy.
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