Breast conservation therapy (BCT): Breast cancer patients treated with BCS followed by radiation therapy (XRT)
Oncoplastic surgery: Surgical repair of partial mastectomy or mastectomy defects
Immediate: At time of breast cancer surgery
With BCS, adjacent tissue transfer &/or reductive techniques prior to XRT
With mastectomy, implant-based or autologous flap performed for breast reconstruction
After XRT (~ 6-12 months): Autologous flap reconstruction has safer long-term outcomes
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
Clinical Issues
PROCEDURE
Procedure Steps
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Nakada H et al: Fat necrosis after breast-conserving oncoplastic surgery. Breast Cancer. 26(1):125-30, 2019
Chatterjee A et al: Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 survey: current practice and future directions. Ann Surg Oncol. ePub, 2018
Habibi M et al: Oncoplastic breast reconstruction: should all patients be considered? Surg Oncol Clin N Am. 27(1):167-80, 2018
Hillberg NS et al: Delay of adjuvant radiotherapy due to postoperative complications after oncoplastic breast conserving surgery. Breast. 39:110-16, 2018
Kimball CC et al: Trends in lumpectomy and oncoplastic breast-conserving surgery in the US, 2011-2016. Ann Surg Oncol. ePub, 2018
Smith ML et al: Defining the role of free flaps in partial breast reconstruction. J Reconstr Microsurg. 34(3):185-92, 2018
Wiens N et al: Effect of BioZorbĀ® surgical marker placement on post-operative radiation boost target volume. J Radiat Oncol. 7(2):175-179, 2018
Losken A et al: Updated evidence on the oncoplastic approach to breast conservation therapy. Plast Reconstr Surg. 140(5S Advances in Breast Reconstruction):14S-22S, 2017
Srinivasa DR et al: Direct-to-implant versus two-stage tissue expander/implant reconstruction: 2-Year risks and patient-reported outcomes from a prospective, multicenter study. Plast Reconstr Surg. 140(5):869-77, 2017
Carter SA et al: Operative and oncologic outcomes in 9861 patients with operable breast cancer: single-institution analysis of breast conservation with oncoplastic reconstruction. Ann Surg Oncol. 23(10):3190-8, 2016
De Lorenzi F et al: Oncological results of oncoplastic breast-conserving surgery: Long term follow-up of a large series at a single institution: A matched-cohort analysis. Eur J Surg Oncol. 42(1):71-7, 2016
Piper M et al: Comparison of mammographic findings following oncoplastic mammoplasty and lumpectomy without reconstruction. Ann Surg Oncol. 23(1):65-71, 2016
Losken A et al: A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. Epub ahead of print, 2013
Fischer JP et al: Breast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients. Plast Reconstr Surg. 131(5):928-34, 2013
Schaverien MV et al: Implant-based augmentation mammaplasty following breast conservation surgery. Ann Plast Surg. 69(3):240-3, 2012
Kronowitz SJ et al: A management algorithm and practical oncoplastic surgical techniques for repairing partial mastectomy defects. Plast Reconstr Surg. 122(6):1631-47, 2008
Kronowitz SJ et al: Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy. Plast Reconstr Surg. 120(7):1755-68, 2007
Kronowitz SJ et al: Determining the optimal approach to breast reconstruction after partial mastectomy. Plast Reconstr Surg. 117(1):1-11; discussion 12-4, 2006
Bajaj AK et al: Aesthetic outcomes in patients undergoing breast conservation therapy for the treatment of localized breast cancer. Plast Reconstr Surg. 114(6):1442-9, 2004
Chen AM et al. Breast conservation after neoadjuvant chemotherapy: The M. D. Anderson Cancer Center experience. J. Clin. Oncol. 22: 2303, 2004
Pawlik TM et al: Potential applicability of balloon catheter-based accelerated partial breast irradiation after conservative surgery for breast carcinoma. Cancer. 100(3):490-8, 2004
Clough KB et al: An approach to the repair of partial mastectomy defects. Plast Reconstr Surg. 104(2):409-20, 1999
Clough KB et al: Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg. 41(5):471-81, 1998
Clough KB et al: Conservative treatment of breast cancers by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg. 96(2):363-70, 1995
Slavin SA et al: Reconstruction of the radiated partial mastectomy defect with autogenous tissues. Plast Reconstr Surg. 90(5):854-65; discussion 866-9, 1992
Matory WE Jr et al: Aesthetic results following partial mastectomy and radiation therapy. Plast Reconstr Surg. 85(5):739-46, 1990
Breast conservation therapy (BCT): Breast cancer patients treated with BCS followed by radiation therapy (XRT)
Oncoplastic surgery: Surgical repair of partial mastectomy or mastectomy defects
Immediate: At time of breast cancer surgery
With BCS, adjacent tissue transfer &/or reductive techniques prior to XRT
With mastectomy, implant-based or autologous flap performed for breast reconstruction
After XRT (~ 6-12 months): Autologous flap reconstruction has safer long-term outcomes
PREPROCEDURE
Indications
Contraindications
Preprocedure Imaging
Getting Started
Clinical Issues
PROCEDURE
Procedure Steps
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Nakada H et al: Fat necrosis after breast-conserving oncoplastic surgery. Breast Cancer. 26(1):125-30, 2019
Chatterjee A et al: Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 survey: current practice and future directions. Ann Surg Oncol. ePub, 2018
Habibi M et al: Oncoplastic breast reconstruction: should all patients be considered? Surg Oncol Clin N Am. 27(1):167-80, 2018
Hillberg NS et al: Delay of adjuvant radiotherapy due to postoperative complications after oncoplastic breast conserving surgery. Breast. 39:110-16, 2018
Kimball CC et al: Trends in lumpectomy and oncoplastic breast-conserving surgery in the US, 2011-2016. Ann Surg Oncol. ePub, 2018
Smith ML et al: Defining the role of free flaps in partial breast reconstruction. J Reconstr Microsurg. 34(3):185-92, 2018
Wiens N et al: Effect of BioZorbĀ® surgical marker placement on post-operative radiation boost target volume. J Radiat Oncol. 7(2):175-179, 2018
Losken A et al: Updated evidence on the oncoplastic approach to breast conservation therapy. Plast Reconstr Surg. 140(5S Advances in Breast Reconstruction):14S-22S, 2017
Srinivasa DR et al: Direct-to-implant versus two-stage tissue expander/implant reconstruction: 2-Year risks and patient-reported outcomes from a prospective, multicenter study. Plast Reconstr Surg. 140(5):869-77, 2017
Carter SA et al: Operative and oncologic outcomes in 9861 patients with operable breast cancer: single-institution analysis of breast conservation with oncoplastic reconstruction. Ann Surg Oncol. 23(10):3190-8, 2016
De Lorenzi F et al: Oncological results of oncoplastic breast-conserving surgery: Long term follow-up of a large series at a single institution: A matched-cohort analysis. Eur J Surg Oncol. 42(1):71-7, 2016
Piper M et al: Comparison of mammographic findings following oncoplastic mammoplasty and lumpectomy without reconstruction. Ann Surg Oncol. 23(1):65-71, 2016
Losken A et al: A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. Epub ahead of print, 2013
Fischer JP et al: Breast reconstruction modality outcome study: a comparison of expander/implants and free flaps in select patients. Plast Reconstr Surg. 131(5):928-34, 2013
Schaverien MV et al: Implant-based augmentation mammaplasty following breast conservation surgery. Ann Plast Surg. 69(3):240-3, 2012
Kronowitz SJ et al: A management algorithm and practical oncoplastic surgical techniques for repairing partial mastectomy defects. Plast Reconstr Surg. 122(6):1631-47, 2008
Kronowitz SJ et al: Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy. Plast Reconstr Surg. 120(7):1755-68, 2007
Kronowitz SJ et al: Determining the optimal approach to breast reconstruction after partial mastectomy. Plast Reconstr Surg. 117(1):1-11; discussion 12-4, 2006
Bajaj AK et al: Aesthetic outcomes in patients undergoing breast conservation therapy for the treatment of localized breast cancer. Plast Reconstr Surg. 114(6):1442-9, 2004
Chen AM et al. Breast conservation after neoadjuvant chemotherapy: The M. D. Anderson Cancer Center experience. J. Clin. Oncol. 22: 2303, 2004
Pawlik TM et al: Potential applicability of balloon catheter-based accelerated partial breast irradiation after conservative surgery for breast carcinoma. Cancer. 100(3):490-8, 2004
Clough KB et al: An approach to the repair of partial mastectomy defects. Plast Reconstr Surg. 104(2):409-20, 1999
Clough KB et al: Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg. 41(5):471-81, 1998
Clough KB et al: Conservative treatment of breast cancers by mammaplasty and irradiation: a new approach to lower quadrant tumors. Plast Reconstr Surg. 96(2):363-70, 1995
Slavin SA et al: Reconstruction of the radiated partial mastectomy defect with autogenous tissues. Plast Reconstr Surg. 90(5):854-65; discussion 866-9, 1992
Matory WE Jr et al: Aesthetic results following partial mastectomy and radiation therapy. Plast Reconstr Surg. 85(5):739-46, 1990
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