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Oncoplastic and reconstructive breast surgery.

Published version
Peer-reviewed

Repository DOI


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Authors

Wignarajah, Primeera 
Malata, Charles M 
Benson, John R 

Abstract

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.

Description

Peer reviewed: True

Keywords

autologous free flap, breast implants, breast reconstruction, fat grafting, nipple sparing mastectomy, oncoplastic breast surgery

Journal Title

Front Oncol

Conference Name

Journal ISSN

2234-943X
2234-943X

Volume Title

13

Publisher

Frontiers Media SA