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Oncoplastic Techniques for Breast Conservation Surgery

  • Chin-Yau Chen
  • Kristine E. Calhoun
  • Benjamin O. Anderson
Chapter

Abstract

Formal techniques for optimizing cosmesis after breast conservation surgery are often not taught in general surgery programs with the same attention to detail as might be provided for training in performing an appendectomy, cholecystectomy, or other intraabdominal surgery. In a typical “lumpectomy,” the skin is opened, the tumor removed, and the skin closed without any specific effort being made to close the lumpectomy defect. Indeed, closing the fibroglandular tissue can be problematic because unsightly defects can result if alignment of the breast tissue is suboptimal. Fibroglandular tissue that is sutured closed at middle depth in the breast while the patient is supine on the operating table can result in a dimpled, irregular appearance when the patient stands up. More sophisticated techniques are now available which allow the breast surgeon to excise a tumor then mobilize breast tissue for an improved cosmetic result.

Keywords

Breast Tissue Invasive Lobular Carcinoma Breast Conservation Surgery Pectoralis Muscle Partial Mastectomy 
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.

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Copyright information

© Springer New York 2010

Authors and Affiliations

  • Chin-Yau Chen
  • Kristine E. Calhoun
  • Benjamin O. Anderson
    • 1
  1. 1.Breast Global Health InitiativeUniversity of Washington / Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, University of WashingtonSeattleUSA

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