RT Book, Section
A1 Losken, Albert
A2 Kuerer, Henry M.
SR Print(0)
ID 6415970
T1 Chapter 76. Partial Breast Reconstruction Using Local Tissue
T2 Kuerer's Breast Surgical Oncology
YR 2010
FD 2010
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-160178-8
LK accesssurgery.mhmedical.com/content.aspx?aid=6415970
RD 2024/04/25
AB Breast  conservation  therapy  (BCT)  is  a  popular  treatment  option  for  women  with  breast  cancer,  and  that  trend  continues  to  rise.1  This  is  in  part  driven  by  equivalent  survival  rates  and  by  preservation  of  body  image,  quality  of  life,  and  reduced  psychological  morbidity  with  breast-sparing  surgery.2,3  However,  there  remains  an  innate  conflict  between  the  goals  of  oncology  and  cosmesis,  with  the  former  being  to  eliminate  all  locoregional  disease,  and  the  latter  relying  on  preservation  of  as  much  breast  tissue  as  possible  for  optimal  aesthetic  outcome.  The  wider  the  margin  of  resection,  the  lower  the  risk  of  local  recurrence,4,5  and  it  often  becomes  a  dilemma  for  the  surgeon  to  meet  both  these  end  points.  Breast  shape  becomes  compromised  and  significant  contour  deformities,  breast  asymmetry,  and  poor  aesthetic  outcomes  are  not  uncommon.  Up  to  30%  of  women  will  have  a  residual  deformity  that  may  require  surgical  correction,6  the  correction  of  which  is  often  difficult.7