Abstract: |
The use of oncoplastic breast surgery has increased substantially in recent years and has many benefits for the patient, including those related to cosmesis, quality of life, and avoidance of mastectomy. However, surgical oncologists have expressed concern regarding the oncologic safety of these procedures. There has been speculation, due to a variety of reasons, that oncoplastic procedures may compromise oncologic outcomes. Oncoplastic surgery has been associated with a higher complication rate than standard breast-conserving surgery, and this has raised concerns that the commencement of adjuvant therapy may be delayed in these patients. Mobilization of glandular tissue in oncoplastic surgery leads to displacement of the tumor bed, posing challenges for re-excision of margins and also for delivery of radiation boost. These issues will be discussed in detail in this chapter. © Springer International Publishing AG, part of Springer Nature 2013, 2019 |