What does this mean in terms of breast reconstruction?
This usually refers to the combination of plastic surgery with the removal of the tumor using a breast conserving procedure done during lumpectomy.
In terms of breast reconstruction, oncoplastic surgery has been described as a combined approach to the treatment and reconstruction of patients with breast cancer. In the plastic surgery literature, this has been most commonly described in lumpectomy or partial mastectomy surgery in patients with sagging or large breasts. The plastic surgeon can outline an incision for a breast reduction or lift through which the breast cancer surgeon can remove the tumor. In the immediate setting, the tumor is removed and then the plastic surgeon performs a lift or reduction to preserve and improve the shape and size of the breast. The downside to this is that the breast could shrink or harden after radiation, which will be necessary. There is also the possibility of a positive margin. In the delayed setting, the tumor is removed and nodes are sampled. Once final pathology confirms clear margins, the plastic surgeon proceeds with reduction or lift of the breast prior to radiation. I prefer this method in my practice, as I am confident that the cancer has been completely removed prior to beginning my reconstruction. The contralateral breast can commonly be addressed during the primary procedure, but some may prefer to delay until after radiation. I wish you a safe and healthy recovery. Paul S. Gill, M.D. Gill Plastic Surgery Houston Double Board Certified Plastic Surgeon
