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