Oncoplastic

Oncoplastic surgery is tumor specific immediate breast reconstruction. It represents the integration of plastic surgery techniques into breast cancer surgery in order to preserve aesthetical outcomes and quality of life of the patients, without compromising local control of disease. It is based on three surgical principles: ideal breast cancer surgery with free tumor margins, immediate breast reconstruction, and immediate symmetry with the other breast. Although the word was originally coined by Werner Audrescht in Germany in 1990s, plastic surgery techniques were transposed into breast-conserving therapy to avoid late unsatisfactory aesthetic results in 1980s in France by Jean-Yves Petit (Institut Goustave-Roussy), Jean-Yves Bobin (Centre Léon-Bérard) and Michel Abbes (Centre Lacassagne).

References

• Clough KB et al. Oncoplastic techniques allow for extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003; 237:26-34.
• Clough KB. Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Surg Oncol 1998; 41:471-481.
• Kaur N, Petit JY, Rietjens M et al. Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer. Ann Surg Oncol 2005; 12:1-7.
• Rietjens M, Urban CA, Rey PC et AL. Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast 2007; 16:387-395.
• Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification of quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol 2010; 17: 1375-91.
• Urban CA. New classification for oncoplastic procedures in surgical practice. The Breast 2008, 17(4):321-322.