TY - CHAP M1 - Book, Section TI - Chapter 76. Partial Breast Reconstruction Using Local Tissue A1 - Losken, Albert A2 - Kuerer, Henry M. PY - 2010 T2 - Kuerer's Breast Surgical Oncology 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 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=6415970 ER -