Oncoplastic breast surgery in the setting of breast-conserving therapy: A systematic review

Document Type

Journal Article

Publication Date

10-1-2016

Journal

Advances in Radiation Oncology

Volume

1

Issue

4

DOI

10.1016/j.adro.2016.09.002

Abstract

© 2016 The Authors on behalf of the American Society for Radiation Oncology Breast-conserving therapy (BCT), or breast-conserving surgery with adjuvant radiation therapy, has become a standard treatment alternative to mastectomy for women with early-stage breast cancer after many long-term studies have reported comparable rates of overall survival and local control. Oncoplastic breast surgery in the setting of BCT consists of various techniques that allow for an excision with a wider margin and a simultaneous enhancement of cosmetic sequelae, making it an ideal breast cancer surgery. Because of the parenchymal rearrangement that is routinely involved in oncoplastic techniques, however, the targeted tissue can be relocated, thus posing a challenge to localize the tumor bed for radiation planning. The goals of this systematic review are to address the challenges, outcomes, and cosmesis of oncoplastic breast surgery in the setting of BCT.

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