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The Role of Oncoplastic Surgery in Breast Cancer

2008; Taylor & Francis; Volume: 108; Issue: 6 Linguagem: Inglês

10.1080/00015458.2008.11680313

0001-5458

Moustapha Hamdi, Yves Sinove, Herman Depypere, Van Den Broucke, L. Vakaef, V. Cocquyt, Geert Villeirs, C. Lambein, Georges Van Maele,

Breast Lesions and Carcinomas

The authors discuss the objectives of oncoplastic surgery in breast cancer management. Indications and advantages are summarised. Some surgical techniques are described. The authors report their own experience with oncoplastic surgery (26 patients who had immediate breast reconstruction after tumorectomy, and 126 patients who had lumpectomy alone. Oncoplastic surgery was characterised by a wider excision, with negative margins in all cases. In isolated breast conservative tumorectomy, 20% of the margins were positive, requiring re-excision or radical mastectomy. Oncoplastic surgery is preferred especially in younger patients with smaller breasts, since it is less cosmetically mutulating and allows complete tumor resection with save margins.