Oncoplastic Breast Reconstruction: Should All Patients be Considered?

Mehran Habibi; Kristen P Broderick; Mohamad E Sebai; Lisa K Jacobs

doi:10.1016/j.soc.2017.07.007

Oncoplastic Breast Reconstruction: Should All Patients be Considered?

Surg Oncol Clin N Am. 2018 Jan;27(1):167-180. doi: 10.1016/j.soc.2017.07.007.

Authors

Mehran Habibi¹, Kristen P Broderick², Mohamad E Sebai³, Lisa K Jacobs⁴

Affiliations

¹ Department of Surgery, Johns Hopkins University, 4940 Eastern Avenue, Room A-562, Baltimore, MD 21224, USA.
² Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 4940 Eastern Avenue, Suite A 520, Baltimore, MD 21224, USA.
³ Department of Surgery, Johns Hopkins University School of Medicine, 4940 Eastern Avenue, Building A 5th Floor-Room 562, Baltimore, MD 21224, USA.
⁴ Department of Surgery, Johns Hopkins University, Blalock 607, Baltimore, MD 21287, USA. Electronic address: Ljacob14@jhmi.edu.

PMID: 29132559
DOI: 10.1016/j.soc.2017.07.007

Abstract

Oncoplastic surgery of the tissue defect from partial mastectomy should be considered for all patients. It can result in in significant asymmetries from scar contraction, skin tethering, and alterations in the nipple areolar complex location. Indications, risks, and benefits are discussed. Optimal procedures are described, considering resected specimen volume, primary tumor location, tumor to breast size ratio, and the impact on the nipple areolar complex. Indications for plastic surgery consultation and joint surgery are discussed. Surgical management includes incision planning, preservation of the nipple areolar complex pedicle and position, patient positioning, incision location, and recovery.

Keywords: Breast cancer; Breast preservation; Cosmesis; Oncoplastic surgery; Reconstructive surgery.

Publication types

Review

MeSH terms

Breast Neoplasms / surgery*
Female
Humans
Mammaplasty / methods
Mastectomy / adverse effects
Radiotherapy / adverse effects