Abstract:
:Oncoplastic surgery has revolutionized the field of breast conserving surgery (BCS). The final aims of this technique are to obtain an adequate resection margin that will reduce the rate of local recurrence while simultaneously improving cosmetic outcomes. To obtain successful results after oncoplastic surgery, it is imperative that patients be risk-stratified based on risk factors associated with positive margins, that relevant imaging studies be reviewed, and that the confirmation of negative margins be confirmed during the initial operation. Patients who had small- to moderate-sized breasts are the most likely to be dissatisfied with the cosmetic outcome of surgery, even if the defect is small; therefore, oncoplastic surgery in this population is warranted. Reconstruction of the remaining breast tissue is divided into volume displacement and volume replacement techniques. The use of the various oncoplastic surgeries is based on tumor location and excised breast volume. If the excised volume is less than 100 g, the tumor location is used to determine which technique should be used, with the most commonly used technique being volume displacement. However, if the excised volume is greater than 100 g, the volume replacement method is generally used, and in cases where more than 150 g is excised, the latissimus dorsi myocutaneous flap may be used to obtain a pleasing cosmetic result. The local recurrence rate after oncoplastic surgery was lower than that of conventional BCS, as oncoplastic surgery reduced the rate of positive resection margins by resecting a wider section of glandular tissue. If the surgeon understands the advantages and disadvantages of oncoplastic surgery, and the multidisciplinary breast team is able to successfully collaborate, then the success rate of BCS with partial breast reconstruction can be increased while also yielding a cosmetically appealing outcome.
journal_name
J Breast Cancerjournal_title
Journal of breast cancerauthors
Yang JD,Lee JW,Kim WW,Jung JH,Park HYdoi
10.4048/jbc.2011.14.4.253subject
Has Abstractpub_date
2011-12-01 00:00:00pages
253-61issue
4eissn
1738-6756issn
2092-9900journal_volume
14pub_type
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pub_type: 杂志文章,评审
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journal_title:Journal of breast cancer
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journal_title:Journal of breast cancer
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journal_title:Journal of breast cancer
pub_type: 杂志文章,评审
doi:10.4048/jbc.2015.18.3.207
更新日期:2015-09-01 00:00:00
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journal_title:Journal of breast cancer
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journal_title:Journal of breast cancer
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