REVIEWS   

Minerva Ginecologica 2009 October;61(5):439-44

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: Italian

Oncoplastic surgery for the treatment of breast cancer

Colombo G. ¹, Ruvolo V. ¹, Ottonello M. ², Bormioli M. ², Meszaros P. ³, Dellacasa I. ⁴

¹ Dipartimento di Chirurgia Plastica e Ricostruttiva, Università di Genova, Genova, Italia 2 Dipartimento di Chirurgia Plastica e Ricostruttiva, Ospedale S. Corona, Pietra Ligure Savona, Italia 3 Senologia, Istituto Tumori, Genova, Italia 4 Dipartimento di Ginecologia e Ostetricia Università di Genova, Genova, Italia

Surgery is still the gold standard in breast cancer. Also if the elective treatment, thanks to the adjuvant therapy, ha became more conservative than once was, breast surgery remains, in the mind of the woman affected by breast cancer, a demolitive surgery. The collaboration bet-ween the breast surgeon and the plastic surgeon has to be closer than it is, in order to obtain the total asportation of the tumor and an esthetic result that limits the psychological trauma to the woman. Oncoplastic surgery is the answer to these human and medical necessities, giving the correct approaches about breast volume, tumor volume, radicality of the treatment and esthetic outcome. This review will focus on different oncoplastic approaches, to help improving both the esthetic outcome of breast cancer resection and the likelihood of surgeons obtaining wide surgical margins in preparation for breast-conserving radiotherapy.