gms | German Medical Science

Introduction: Oncoplastic surgery (OPS) has developed over the last years towards a new and relevant approach and option for immediate reconstructive surgery of the femal breast after cancer resection. OPS uses different well known plastic surgery techniques in breast surgery in a modified and adapted way, avoiding breast deformities and extending breast conservation to even large tumour resection.

Objective and methods: We developed a anatomical based treatment algorithm which classifies different fields of OPS (BCTR: Breast conserving tumor resection; OPTR: Oncoplastic tumor resection and breast shaping; TRM Therapeutic reduction mammoplasty with contralateral reduction) and the conclusive classification of different plastic surgery techniques dependent on cancer size, locatisation and breast size. Different cases are demonstrated to apply this treatment algorithm.

Results: The demonstrated treatment algorithm may be helpful for selecting the appropriate surgical technique in breast cancer patient qualifying for OPS. Excision volume, tumor location, breast size but also glandular density are relevant factors.

Conclusions: OPS is an emerging surgical field in which cancer resection and immediate breast reconstruction is balanced in a way that breast deformities are avoided and breast conservation is possibly extendable to large tumour resection. A wide variety of different modified and adapted plastic surgery techniques are available. The developed treatment algorithm may help to choose the appopriate technique.

Figure 1 [Fig. 1]