Oncoplastic approach in the conservative surgical treatment of breast cancer. A bibliographic review.
DOI:
https://doi.org/10.29166/rfcmq.v47i1.3260Keywords:
reast, Cancer, Mastectomy, Segmental, Therapeutic Radiology, Reconstructive Surgical Procedures, Surgery, PlasticAbstract
Background: Breast cancer is the most common cancer in the world and represents the main cause of death in women; nevertheless, therapeutic advances have made it possible to increase overall and disease-free survival rates. Looking for a better quality of life, oncoplastic surgery arises, which combines plastic and reconstructive surgery in the surgical management of locally advanced breast cancer, larger or with unfavorable location, seeking to improve the appearance without affecting the oncologic result.
Objective: To perform an updated bibliographic review of the oncoplastic approach in the conservative surgical treatment of breast cancer, with the purpose of knowing its oncologic and esthetic results compared to conventional surgical treatments.
Methodology: The bibliographic search was carried out in the databases PubMed, Elsevier, Hinari, Cochrane and ScienceDirect. Selecting the articles published during the last 10 years, in either English or Spanish, that were related to relevant information in the conservative oncoplastic surgical treatment of breast cancer.
Results: The search criteria included articles on conservative oncoplastic surgical treatment in women with primary breast cancer, 99 articles met the criteria, excluding those published more than 10 years ago, with unclear or non-reproducible methodology. 35 were eligible, because they were relevant to the subject, published in indexed journals between 2011 and 2021, allowing to determine the clinical, oncological and aesthetic results of conservative oncoplastic surgery and contrast them with conventional techniques.
Conclusion: Oncoplastic breast-conserving surgery is oncologically safe and comparable to conventional surgeries (total or partial mastectomy), offering more satisfactory esthetic results and improving the quality of life in patients.
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