Oncoplasty

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As Onkoplastik (Greek of onco. Όγκος "swelling" and plastic Greek πλαστική [τέχνη] Plastiki [technical], "the shape of the end / Molded [art]") refers to a combination of cancer surgery and plastic surgery in breast cancer patients ( breast cancer ) .

The technique describes the resection of a breast tumor combined with an aesthetic operation, which can be carried out in one session (immediate reconstruction) or later (late reconstruction). The removal of the tumor can be carried out both breast-conserving and in the sense of a complete removal of the mammary gland ( mastectomy ). The aesthetic operations range from small sliding flaps to larger reduction plasties and free tissue transfer.

Local flap surgery and tumor removal in one session in the same breast

While reconstruction after ablation has been practiced for a long time, the technique of flap surgery in the same session as tumor removal did not emerge until the early 1990s, after beginnings in Germany (Werner Audretsch), France (Krishna Clough) and Milan (Jean Yves Petit ) established worldwide.

This is based on breast reduction operations, which make it possible to remove a large part of the breast without changing the basic shape of the breast.

Since there are more than 60 different types of breast reduction, different techniques are used in this form of oncoplastic surgery. It is crucial that the surgeon has the appropriate training for at least two techniques and should also have the knowledge and skills to perform the oncological part of the operation. If this is not the case, this operation should be carried out by 2 surgeons, although the organization of the operation can be a problem here.

facts and figures

There are currently smaller retrospective analyzes that can prove the oncological safety of this operation; the improvement in symmetry has so far only been reliably proven in one study.

Individual evidence

  1. ↑ Baildam, A., H. Bishop, et al. (2007). Oncoplastic breast surgery - a guide to good practice. In: Eur J Surg Oncol 33 Suppl 1: S1-23 PMID 17604938
  2. ↑ Clough, KB, JS Lewis, et al. (2003). Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. In: Ann Surg 237 (1): 26-34 PMID 12496527
  3. ↑ Kaur, N., JY Petit, et al. (2005). Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer. In: Ann Surg Oncol 12 (7): 539-45 PMID 15889210
  4. ↑ Fitzal, F., G. Nehrer, et al. (2007). Novel strategies in oncoplastic surgery for breast cancer: immediate partial reconstruction of breast defects. In: Eur Surg 39: 330-339
  5. ↑ Fitzal, F., M. Mittlboeck, et al. (2008). Breast-conserving therapy for centrally located breast cancer. In: Ann Surg 247 (3): 470-6 PMID 18376192

literature

  • Clough, KB (2006). "Oncoplastic surgery allows extensive resections for conservative treatment of breast cancer." Eur J Cancer 4: S119