Comparative study between the standard lumpectomy and other modalities of oncoplastic surgical techniques for the partial mastectomy

Abstract

In the plastic surgery literature, oncoplastic surgery typically refers to large partial mastectomy combined with myocutaneous flap reconstruction, such as the Latissimus Dorsi flap or the Transverse Rectus Abdominis myocutaneous (TRAM) flap.

For breast conservation to be efficacious, the surgeon needs (1) to obtain complete excision of the cancer with adequate surgical margin width and (2) to achieve a surgical result that maintains the breast’s shape and appearance over time.

For larger cancers, it can be technically challenging to simultaneously address both of these goals in the same operation. Simple flap advancement “mastopexy” techniques developed by plastic surgeons for breast reduction can reshape the breast immediately after larger breast cancer resections.

By contrast, small- or intermediate-sized cancers can generally be managed nicely using simple oncoplastic techniques that facilitate wide excision of the cancer and preserve the shape and appearance of the breast. In oncoplastic surgery, by advancing locally available fibroglandular tissue along the chest wall, the defect created by partial mastectomy is closed with a breast “fibroglandular flap,” called mastopexy closure. (Lisa Jacobs, etal 2011)

A circumferential incision was made without excision of the periareolar skin, and subcutaneous