Mitchell, SD
Breast cancer
research and treatment; Jun 2017
PURPOSE To develop an atlas for oncoplastic
surgery (OPS) with template dissection techniques via anatomically ideal
incisions for breast conservation surgery. The evolution of breast conservation
techniques has evolved from placing an incision directly over the lesion to the
incorporation of a thoughtful decision making process utilizing oncoplastic
surgical (OPS) techniques to combining OPS with incision placement in
anatomically advantageous sites. The high survival rates of breast cancer and
effect of breast surgery on quality of life reinforce emphasis of optimal
oncologic as well as aesthetic outcome. OPS results in greater patient
satisfaction, fewer surgeries, and is oncologically safe. Today's breast
surgeon is tasked with optimizing both oncologic and aesthetic
outcomes.METHODSPresentation of reproducible dissection techniques and incision
placement strategies to afford surgeons a step-by-step approach of OPS via
anatomically ideal incisions in breast conservation
surgery.RESULTSDemonstration of reproducible techniques to facilitate the
decision making process of optimal breast conservation surgery, eliminate
knowledge gaps for surgeons, optimize outcome for individuals undergoing breast
conservation surgery, and decrease disparity of care.CONCLUSIONAdoption of OPS
techniques utilizing an anatomically ideal incision in breast conservation
surgery is a feasible and reproducible practice for breast surgeons.
Application of these techniques results in maintained optimal shape, size, and
contour without the typical overlying skin envelope scars. OPS techniques
performed under the skin envelope result in expected OPS oncologic and
aesthetic outcomes with the addition of the resulting scar(s) in anatomically
discrete position(s).
