What is the role of breast reconstruction after lumpectomy for the surgical treatment of breast cancer?

Updated: Feb 13, 2019
  • Author: Mary Jo Wright, MD; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

Answer

Oncoplastic surgery is a rapidly advancing field that uses local tissue rearrangement to reconstruct a partial mastectomy defect. Options include fasciocutaneous local tissue advancement flaps, breast parenchymal local flaps, or latissimus dorsi myocutaneous flaps. The selection of aesthetically appropriate incisions also impacts the overall cosmetic result after lumpectomy.

Silverstein and Lagios reported a variety of options for oncoplastic approaches to breast conservation. [7, 8] Kronowitz et al reported that partial mastectomy reconstruction produces superior aesthetic results and lower complication rates when performed before radiation therapy. [9]


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