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Minerva Surgery 2021 Aug 02

DOI: 10.23736/S2724-5691.21.08976-0

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Update on oncoplastic techniques in breast conserving surgery: algorithms for predictable results and custom-made reconstructions

Paolo ORSARIA 1 , Antonella GRASSO 1, Lorenza CAGGIATI 1, Michele ALTOMARE 2, Vittorio ALTOMARE 1

1 Department of Breast Surgery, Campus Bio-Medico University Hospital, Rome, Italy; 2 Department of General Surgery, University of Milan, Milan, Italy


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Breast cancer surgery is going to be a relevant specialty involved in the multidisciplinary disease management, finalized to guarantee high performances on mortality reduction together with a quality of life improvement. The intellectual architecture of this field is characterized by its inclination to respect, sharing, empathy and scientific knowledge that can make it a high model of medical culture. In this context, oncoplastic breast conserving surgery is identified by special aesthetic sensitivities, as well as creativity and innovation. Knowing how to reshape the gland and fill the gaps, planning the targeted exeresis design, while anticipating the final outcome, respecting symmetries and ensuring first of all oncological safety, are the new skills that are required to the breast surgeon. Several tecniques could provide a refined surgical treatment but always challenging according to anatomical findings and patient expectations, as a systematic process of self-critical reflection, with the purpose to optimize criteria for improving therapeutic results.


KEY WORDS: Therapeutic mammoplasty; Oncoplastic surgery; Breast reduction; Mastopexy

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