Mohammed Al Duhileb
Oncoplastic surgery is a form of tumor-specific immediate
breast reconstruction that is performed in conjunction with
a lumpectomy to remove breast cancer. An approach to breast
surgery rather than a specific procedure, it combines plastic
and reconstructive surgery techniques with breast cancer surgery
so that the appearance of the breast can be preserved to
the greatest extent possible, without compromising local control
of disease. The procedure is most commonly used today
to provide the best possible cosmetic outcome during breast
conserving surgery to remove breast cancer. Depending on the
patient, oncoplastic surgery can be used to accomplish one
or more of the following goals: 1) widened surgical margins;
2) reduced local recurrence risk; 3) optimized cosmetic outcome,
including breast symmetry; 4) breast volume reduction
when patients with macromastia develop breast cancer; and 5)
prophylactic removal of breast tissue with reconstruction for
patients at high genetic risk for breast cancer. The history of
oncoplastic surgery is difficult to trace with certainty because it
has not been extensively documented.
