The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment
The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplas...
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Format: | Article |
Language: | English |
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Galenos Publishing House
2015-01-01
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Series: | European Journal of Breast Health |
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http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-role-of-oncoplastic-breast-surgery-in-breast-c/42207
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author | Mustafa Emiroğlu İsmail Sert Abdullah İnal |
author_facet | Mustafa Emiroğlu İsmail Sert Abdullah İnal |
author_sort | Mustafa Emiroğlu |
collection | DOAJ |
description | The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplastic breast reduction, synchrenous reconstructions. Role of OBS in breast cancer surgery, its aspects to be considered, its value and results have been interpreted. This technique has advantages by providing more extensive tumourectomy, yielding better aesthetic results compared with breast conserving surgery, allowing oncoplastic reduction in breast cancer patients with macromastia, with higher patient satisfaction and quality of life and by being inexpensive due to single session practice. As for its disadvantages are: re-excision is more difficult, risk for mastectomy is higher, it is depent on the Surgeron’s experience, it has a risk for delay in adjuvant therapies and its requirement for additional imaging studies during management. Main indications are patients with small tumour / breast volume, macromastia, multifocality, procedures which can disrupt breast cosmesis such as surgeries for upper inner breas tquadrient tumours. Contraindications are positive margin problems after wide excision, diffuse malign microcalsifications, inflammatory breast cancer, history of radiotherapy and patients’ preferences. Despite low evidence level, Oncoplastic Breast Surgery seems to be both reliable and acceptable in terms of oncologic and aesthetic aspects. Oncoplastic Breast Surgery increase the application rate of breast conserving surgery by obviating practical limitations and improve the results of breast conserving surgery. Correct patient and technique choice in OBS is vital for optimization of post surgical. |
first_indexed | 2024-04-10T14:55:45Z |
format | Article |
id | doaj.art-b3f774602ff348d8a846ec9f3016231a |
institution | Directory Open Access Journal |
issn | 2587-0831 |
language | English |
last_indexed | 2024-04-10T14:55:45Z |
publishDate | 2015-01-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | European Journal of Breast Health |
spelling | doaj.art-b3f774602ff348d8a846ec9f3016231a2023-02-15T16:07:23ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312015-01-011111910.5152/tjbh.2014.221513049054The Role of Oncoplastic Breast Surgery in Breast Cancer TreatmentMustafa Emiroğlu0İsmail Sert1Abdullah İnal2 Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İzmir, Türkiye Bursa Şevket Yılmaz Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Bursa, Türkiye The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplastic breast reduction, synchrenous reconstructions. Role of OBS in breast cancer surgery, its aspects to be considered, its value and results have been interpreted. This technique has advantages by providing more extensive tumourectomy, yielding better aesthetic results compared with breast conserving surgery, allowing oncoplastic reduction in breast cancer patients with macromastia, with higher patient satisfaction and quality of life and by being inexpensive due to single session practice. As for its disadvantages are: re-excision is more difficult, risk for mastectomy is higher, it is depent on the Surgeron’s experience, it has a risk for delay in adjuvant therapies and its requirement for additional imaging studies during management. Main indications are patients with small tumour / breast volume, macromastia, multifocality, procedures which can disrupt breast cosmesis such as surgeries for upper inner breas tquadrient tumours. Contraindications are positive margin problems after wide excision, diffuse malign microcalsifications, inflammatory breast cancer, history of radiotherapy and patients’ preferences. Despite low evidence level, Oncoplastic Breast Surgery seems to be both reliable and acceptable in terms of oncologic and aesthetic aspects. Oncoplastic Breast Surgery increase the application rate of breast conserving surgery by obviating practical limitations and improve the results of breast conserving surgery. Correct patient and technique choice in OBS is vital for optimization of post surgical. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-role-of-oncoplastic-breast-surgery-in-breast-c/42207 breast canceroncoplastic breast surgerybreast conserving surgery |
spellingShingle | Mustafa Emiroğlu İsmail Sert Abdullah İnal The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment European Journal of Breast Health breast cancer oncoplastic breast surgery breast conserving surgery |
title | The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment |
title_full | The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment |
title_fullStr | The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment |
title_full_unstemmed | The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment |
title_short | The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment |
title_sort | role of oncoplastic breast surgery in breast cancer treatment |
topic | breast cancer oncoplastic breast surgery breast conserving surgery |
url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/the-role-of-oncoplastic-breast-surgery-in-breast-c/42207
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