Oncoplastic breast surgery: Current status and best candidates for treatment

被引:0
作者
Gail S. Lebovic
Benjamin O. Anderson
机构
[1] The Cooper Clinic,Department of Women’s Services
关键词
Breast Cancer; Breast Reconstruction; Breast Conservation Therapy; Reduction Mammoplasty; Oncoplastic Technique;
D O I
10.1007/s12609-009-0017-1
中图分类号
学科分类号
摘要
The term oncoplastic surgery was coined to describe an evolving area of breast surgery that applies the principles of surgical oncology and plastic and reconstructive surgery to the management of women with breast cancer. Oncoplastic surgery does not describe a particular surgical procedure; it represents a comprehensive approach to surgical planning intended to achieve 1) widened surgical margins; 2) reduced local recurrence risk; 3) optimized cosmetic outcome; and 4) breast volume reduction when patients with macromastia develop breast cancer. This specialized field of cancer surgery, once confined to surgeons practicing in Europe, has gained popularity and attention in the United States, with surgeons anxious to achieve these goals for patients. Multiple factors have combined to allow surgeons to use innovative surgical solutions to simultaneously improve oncologic outcome and surgical cosmesis. This article explores current aspects of oncoplastic surgery, summarizes how various methods are applied in clinical practice, and discusses future directions in the emerging field of oncoplastic breast cancer surgery.
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页码:118 / 123
页数:5
相关论文
共 56 条
[1]  
Halsted W.S.(1907)The results of radical operations for the cure of carcinoma of the breast Ann Surg 46 1-1241
[2]  
Patey D.H.(1948)The prognosis of carcinoma of the breast in relation to the type of operation performed Br J Cancer 2 7-1232
[3]  
Dyson W.H.(2002)Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer N Engl J Med 347 1233-106
[4]  
Fisher B.(2002)Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer N Engl J Med 347 1227-545
[5]  
Anderson S.(2003)Towards a scientific basis for oncoplastic breast surgery Eur J Surg Oncol 29 105-2469
[6]  
Bryant J.(2005)Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer Ann Surg Oncol 12 539-823
[7]  
Veronesi U.(2003)Size of invasive breast cancer and risk of local recurrence after breast-conservation therapy Eur J Cancer 39 2462-312
[8]  
Cascinelli N.(2005)Oncological and cosmetic outcomes of oncoplastic breast conserving surgery Eur J Surg Oncol 31 817-34
[9]  
Mariani L.(2004)The future of breast surgery: a new sub-speciality of oncoplastic breast surgeons? Breast 13 82-66
[10]  
Rew D.A.(2007)Invasive breast cancer J Natl Compr Canc Netw 5 246-605