Oncoplastic and reconstructive breast surgery

This article provides an overview of the principles and techniques of oncoplastic and reconstructive breast surgery for patients with early-stage breast cancer. Oncoplastic breast surgery (OPBS) with partial breast reconstruction is a natural evolution in the application of breast conserving surgery...

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Main Authors: Primeera Wignarajah, Charles M. Malata, John R. Benson
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1176915/full
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author Primeera Wignarajah
Primeera Wignarajah
Charles M. Malata
Charles M. Malata
Charles M. Malata
John R. Benson
John R. Benson
author_facet Primeera Wignarajah
Primeera Wignarajah
Charles M. Malata
Charles M. Malata
Charles M. Malata
John R. Benson
John R. Benson
author_sort Primeera Wignarajah
collection DOAJ
description This article provides an overview of the principles and techniques of oncoplastic and reconstructive breast surgery for patients with early-stage breast cancer. Oncoplastic breast surgery (OPBS) with partial breast reconstruction is a natural evolution in the application of breast conserving surgery and permits wide surgical resection of tumours that might otherwise mandate mastectomy and whole breast reconstruction. These reconstructive techniques must be optimally selected and integrated with ablative breast surgery together with non-surgical treatments such as radiotherapy and chemotherapy that may be variably sequenced with each other. A multidisciplinary approach with shared decision-making is essential to ensure optimal clinical and patient-reported outcomes that address oncological, aesthetic, functional and psychosocial domains. Future practice of OPBS must incorporate routine audit and comprehensive evaluation of outcomes.
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spelling doaj.art-747bfb1fba364d569b5ac6aad70f76612023-06-28T12:19:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-06-011310.3389/fonc.2023.11769151176915Oncoplastic and reconstructive breast surgeryPrimeera Wignarajah0Primeera Wignarajah1Charles M. Malata2Charles M. Malata3Charles M. Malata4John R. Benson5John R. Benson6Department of Breast Surgery, Royal Marsden Hospital NHS Trust, London, United KingdomDepartment of Breast Surgery, Cambridge Breast Unit, Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomDepartment of Breast Surgery, Cambridge Breast Unit, Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomDepartment of Plastic and Reconstructive Surgery, Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomAnglia Ruskin University School of Medicine, Cambridge/Chelmsford, United KingdomDepartment of Breast Surgery, Cambridge Breast Unit, Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomAnglia Ruskin University School of Medicine, Cambridge/Chelmsford, United KingdomThis article provides an overview of the principles and techniques of oncoplastic and reconstructive breast surgery for patients with early-stage breast cancer. Oncoplastic breast surgery (OPBS) with partial breast reconstruction is a natural evolution in the application of breast conserving surgery and permits wide surgical resection of tumours that might otherwise mandate mastectomy and whole breast reconstruction. These reconstructive techniques must be optimally selected and integrated with ablative breast surgery together with non-surgical treatments such as radiotherapy and chemotherapy that may be variably sequenced with each other. A multidisciplinary approach with shared decision-making is essential to ensure optimal clinical and patient-reported outcomes that address oncological, aesthetic, functional and psychosocial domains. Future practice of OPBS must incorporate routine audit and comprehensive evaluation of outcomes.https://www.frontiersin.org/articles/10.3389/fonc.2023.1176915/fullbreast reconstructiononcoplastic breast surgerybreast implantsfat graftingautologous free flapnipple sparing mastectomy
spellingShingle Primeera Wignarajah
Primeera Wignarajah
Charles M. Malata
Charles M. Malata
Charles M. Malata
John R. Benson
John R. Benson
Oncoplastic and reconstructive breast surgery
Frontiers in Oncology
breast reconstruction
oncoplastic breast surgery
breast implants
fat grafting
autologous free flap
nipple sparing mastectomy
title Oncoplastic and reconstructive breast surgery
title_full Oncoplastic and reconstructive breast surgery
title_fullStr Oncoplastic and reconstructive breast surgery
title_full_unstemmed Oncoplastic and reconstructive breast surgery
title_short Oncoplastic and reconstructive breast surgery
title_sort oncoplastic and reconstructive breast surgery
topic breast reconstruction
oncoplastic breast surgery
breast implants
fat grafting
autologous free flap
nipple sparing mastectomy
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1176915/full
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AT johnrbenson oncoplasticandreconstructivebreastsurgery
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