Online ISSN: 2515-8260

Comparative study of surgical and oncological outcomes in oncoplastic versus non oncoplastic breast-conserving surgery for breast cancer treatment

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1Dr. Manas Ranjan Deo, 2Dr. Santsevi Prasad, 3Dr. Apurva Agarwal, 4Dr. Sunil Kumar

Abstract

Introduction: Recently, breast conserving surgery (BCS) followed by radiotherapy has been gaining popularity for most patients with early breast cancer; though, this technique has justified to be comparable with mastectomy in view of long-term survival in certain selected groups of women. This surgical option includes lumpectomy and sentinel node biopsy with or without radiotherapy and presents potential advantages over radical procedures as it is potentially less invasive, less debilitating and more aesthetically acceptable. Oncoplastic breast surgery (OBS) is a novel approach that developed greatly in the last decades that combines BCS with concomitant breast reconstruction. The aim of this technique is to get a safe and complete removal of the tumorous lesion while achieving the best possible aesthetic result. OBS consists of large lumpectomy and remodelling techniques such as breastreshaping by therapeutic reduction mammoplasty or volume reduction by local glandular flaps or regional/distant flaps. Hence this study aimed at comparing the patients who had undergone non-oncoplastic and oncoplastic breast conserving surgery based on the tumour characteristics and its postoperative complications. Associated risk factors such as positive margins and local recurrence were also evaluated.

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