**Author details**

Nilufer Bulut

Address all correspondence to: ferlut@hotmail.com

Department of Medical Oncology, Kanuni Sultan Suleyman Education and Research Hospital, Kucukcekmece, Istanbul, Turkey

**Section 2**

**Surgical Treatment Options in Breast Cancer**

**Surgical Treatment Options in Breast Cancer**

**Chapter 2**

**Provisional chapter**

**Oncoplastic Breast Surgery in the Treatment of Breast**

**Oncoplastic Breast Surgery in the Treatment of Breast** 

Breast cancer is one of the commonest cancers affecting women and oncoplastic breast surgery has been firmly established as the mainstay of modern surgical treatment, replacing the traditional two-operation approach. Careful patient selection, relevance of effective communication, patient education and navigating the complex decision-making process, are some of the topics covered in this chapter. Preoperative planning, implant selection, patient marking, importance of scar placement, marking and measuring the patient preoperatively, good theatre practice, technical tips for good cosmesis, and after care; are also discussed. A brief section on revision surgery following implant reconstruction, lipomodelling and a brief overview about breast implant associated anaplastic large cell lymphoma (BIA-ALCL) and multidisciplinary approach to modern management of breast cancer. It aims to serve as a guide to surgeons on current practice and achieving the ideal balance between oncological clearance of the cancer combined with good cosmesis and high levels of patient satisfaction. **Keywords:** oncoplastic breast surgery, breast cancer, scar placement, patient selection,

Surgical management of breast cancer has undergone significant evolutionary changes since Halstead's description of radical mastectomy in 1882. Although Halstead was not credited for discovering this technique, his seminal paper published in the Annals of Surgery in 1894 demonstrated a 20% survival benefit for the first time. Not surprisingly, the Halstead mastectomy became the standard of care for the next several decades [1]. It took almost 70 years before quadrantectomy was considered a safe alternative to sacrificing the whole breast with

long-term follow-up confirmed in the NSABP-B06 and Veronesi's Milan I trial [2, 3].

© 2016 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

© 2018 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

distribution, and reproduction in any medium, provided the original work is properly cited.

DOI: 10.5772/intechopen.77955

**Cancer**

**Cancer**

Josie Todd

**Abstract**

**1. Introduction**

Josie Todd

Additional information is available at the end of the chapter

Additional information is available at the end of the chapter

implant reconstruction, capsular contracture

http://dx.doi.org/10.5772/intechopen.77955

#### **Oncoplastic Breast Surgery in the Treatment of Breast Cancer Oncoplastic Breast Surgery in the Treatment of Breast Cancer**

DOI: 10.5772/intechopen.77955

#### Josie Todd Josie Todd

Additional information is available at the end of the chapter Additional information is available at the end of the chapter

http://dx.doi.org/10.5772/intechopen.77955

#### **Abstract**

Breast cancer is one of the commonest cancers affecting women and oncoplastic breast surgery has been firmly established as the mainstay of modern surgical treatment, replacing the traditional two-operation approach. Careful patient selection, relevance of effective communication, patient education and navigating the complex decision-making process, are some of the topics covered in this chapter. Preoperative planning, implant selection, patient marking, importance of scar placement, marking and measuring the patient preoperatively, good theatre practice, technical tips for good cosmesis, and after care; are also discussed. A brief section on revision surgery following implant reconstruction, lipomodelling and a brief overview about breast implant associated anaplastic large cell lymphoma (BIA-ALCL) and multidisciplinary approach to modern management of breast cancer. It aims to serve as a guide to surgeons on current practice and achieving the ideal balance between oncological clearance of the cancer combined with good cosmesis and high levels of patient satisfaction.

**Keywords:** oncoplastic breast surgery, breast cancer, scar placement, patient selection, implant reconstruction, capsular contracture
