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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-06-01
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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. |
first_indexed | 2024-03-13T02:50:29Z |
format | Article |
id | doaj.art-747bfb1fba364d569b5ac6aad70f7661 |
institution | Directory Open Access Journal |
issn | 2234-943X |
language | English |
last_indexed | 2024-03-13T02:50:29Z |
publishDate | 2023-06-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Oncology |
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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