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Am J Surg. 2010 Aug;200(2):224-8. doi: 10.1016/j.amjsurg.2009.09.026. Epub 2010 Jun 22.

Outcome of oncoplastic breast surgery in 90 prospective patients.

Author information

1
Department of Plastic Surgery and Breast Surgery Unit, Helsinki University Central Hospital, HUS, Finland. tuomo.meretoja@fimnet.fi

Abstract

BACKGROUND:

Oncoplastic breast surgery refers to a wide range of techniques with a parallel goal of safely removing all malignant breast tissue while achieving the best possible esthetic outcome. We report the results of our oncoplastic breast operations from 2005 to 2007.

METHODS:

Ninety selected breast cancer patients were treated with a variety of oncoplastic operations. The patients were prospectively monitored. Radiotherapy and systemic adjuvant treatment were given according to national guidelines.

RESULTS:

Fifteen patients had an immediate surgical complication, of which 8 required a reoperation. Eleven patients had an inadequate surgical margin and required a completion mastectomy. During a median follow-up of 26 months no local or regional recurrences were noticed. Three patients developed distant metastases.

CONCLUSIONS:

Oncoplastic breast surgery offers tools for breast conservation in patients otherwise destined for mastectomy or poor esthetic outcome. Despite the high proportion of patients in this series with large-volume ductal carcinoma in situ (DCIS) or extensive intraductal component, the use of oncoplastic techniques achieved negative margins with acceptable cosmetic results in the majority (84%) of patients.

PMID:
20573334
DOI:
10.1016/j.amjsurg.2009.09.026
[Indexed for MEDLINE]
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