Mohammed Al Duhileb
Oncoplastic surgery is a form of tumor-specific immediate breast reconstruction that is performed in conjunction with a lumpectomy to remove breast cancer. An approach to breast surgery rather than a specific procedure, it combines plastic and reconstructive surgery techniques with breast cancer surgery so that the appearance of the breast can be preserved to the greatest extent possible, without compromising local control of disease. The procedure is most commonly used today to provide the best possible cosmetic outcome during breast conserving surgery to remove breast cancer. Depending on the patient, oncoplastic surgery can be used to accomplish one or more of the following goals: 1) widened surgical margins; 2) reduced local recurrence risk; 3) optimized cosmetic outcome, including breast symmetry; 4) breast volume reduction when patients with macromastia develop breast cancer; and 5) prophylactic removal of breast tissue with reconstruction for patients at high genetic risk for breast cancer. The history of oncoplastic surgery is difficult to trace with certainty because it has not been extensively documented.
