Oncoplastic and Reconstructive Surgery for Breast Cancer (eBook)

Preface 5
Contents 6
Introduction 11
Anatomical Review 13
References 17
1 Breast-Conserving Surgery Standard Breast Conserving Surgery 18
Incisions for Tumours Not Requiring Oncoplastic Surgery 18
Nonconservative Treatment 21
After Previous Plastic or Breast Surgery 23
2 Oncoplastic Breast Surgery 25
Breast-Conserving Surgery for Central Tumours: “NACectomies” 25
Plastic Surgical Techniques in Breast Cancer Surgery (Oncoplastic Breast Surgery) 28
References 49
3 Breast Reconstruction: Immediate and Delayed 51
Prostheses and Expanders 51
Latissimus Dorsi Flap 67
Transverse Rectus Abdominis Musculocutaneous (TRAM) Flap 79
Free Flaps 89
References 96
4 Particular Cases 98
Omentoplasty or Kiricuta’s Flap 98
Conclusion 99
Local Fasciocutaneous Flaps 99
The San Venero 101
References 101
5 Aesthetic Sequelae of Breast-Conserving Therapy (ASBCT) 102
Introduction 102
Classification 102
Conclusion 113
References 113
6 Second-Stage Surgery 114
Position and Form of the NAC 114
Areolar Reconstruction 115
Other Reconstructive Techniques 119
Conclusion 123
Symmetrising Surgery 123
References 124
7 Lipomodelage and Breast Surgery 125
Historical Background 125
Technique 125
Fat Harvesting 125
Fat Preparation 127
Adipocyte Reinjection 127
Postoperatively 127
Discussion 127
Volume Augmentation in the Autologous Flap-Reconstructed Breast 127
Correction of Localised Deformities Following Either Implant-Based Reconstruction or Breast Conserving Therapy (ASBCT Grade 1) 128
Complete Autologous Fat Transfer for Reconstruction of the Small Breast 129
Conclusion 130
References 130
8 Prophylactic Surgery 131
9 Multidisciplinarity 133
Radiotherapy After Breast Reconstruction 133
Psycho-oncological Aspects 137
Conclusion 145
References 145
10 Prophylactic Mastectomy and BRCA1 or BRCA2 Gene Mutations 149
Prophylactic Mastectomy: Principles and Efficacy of Prevention 149
Management of Women Carrying BRCA1/2 Mutations Without Cancer 150
Diagnosis of a Breast Cancer in a Woman with BRCA1/2 Mutation 150
Discovery of BRCA1/2 Mutation After Diagnosis of Breast Cancer 151
High Family Risk Without Identified Mutation 151
Conclusion 151
References 151
Glossary 153
Index 154