OP 23. Application of Oncoplastic Techniques for Breast Surgery


O. Tuka - Pap, D. Baranyai

Chair(s): György Lázár, Hud Shaker & Bernadett Lévay

15:00 - 15:10h at Buda Room (B)

Categories: Plastic and Reconstructive Surgery, Oral Session

Session: Oral Session III - Breast & Plastic Reconstruction


Background:
The new trend in breast surgery is the oncoplastic breast surgery. The oncoplastic techniques improve the cosmetic results compared with breast-conserving techniques without compromising the oncological safety. Such a process of direct volume restoration with autologous tissue, breast reshaping with therapy of breast plastic or with local, regional flaps. Described in detail reformulation techniques in breast, which are used in cases of tissue-absence up to 20 percent because even such deficit breast shape and volume can be restored without significant distortion of the remaining parenchyma with the mobilization and modeling. As well compared the section types, advantages, disadvantages and practical application of those based on the tumor localization.

Material and Methods:
Presented oncoplastic surgical repairs of 80 patients. Patients had a mean age of 53.3 years, the youngest was 34, the oldest was 67. The tumor size of 1-5 cm, histological types: 68 cases of carcinoma ductale invasivum, 3 cases of Paget, 7 lobular, 2 cases of mucinous neoplasia were. In terms of localization: outer of 56 cases, central of 10 cases, internal of 7 cases, lower quadrant boundary of 7 cases localized. In case of preoperative lymph node involvement total axillary blockdissection was made, in case of negative axilla status sentinel localization and intraoperative freezing histological examination were performed.

Result:
The circumvertical (Léjour) and the inverted T incision type was the predominant surgical solution, although based on localization more types of section would have been appropriate.

Conclusion:
These two methods are excellent to explore well any region of the breast.