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KMID : 0613820200300060563
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Journal of Life Science
2020 Volume.30 No. 6 p.563 ~ p.569
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Recent Perspectives on Oncoplastic Breast Surgery in Korea
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Kang Tae-Woo
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Abstract
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Oncoplastic surgery (OPS) combines oncologically safe tumor resection with aesthetically satisfying reconstruction of defects using established plastic surgery techniques. OPS is characterized by initial excision as extensive as is beneficial for oncological safety, and, once sufficient resection is complete, displacement or replacement techniques are selected based on remnant volume. The size of the lesion and the individual patient are important factors when considering the appropriate approach, and when pre-operative imaging, including MRI, is used to determine the technique, the complete removal of cancer cells by permanent pathology is essential. A frozen section is used during the operation to reduce the reoperation rate, but it is difficult to cover the entire margin surface theoretically and even harder in practice. A recent report about adequate margins has empowered OPS in its oncological safety. Considering the patients to whom each modality could be applied, basic breast volume is an important factor, and this is influenced by ethnic differences. In Europe or the US, for example, the average breast size is 36D (600 cm3) and reduction mammoplasty is predominantly used. However, the average size of patients in our institution is 33A (300 cm3), and so quite different approaches are selected in most cases. New techniques involving radiofrequency and fluorescence have been proposed as safe and easily accessible ways of reducing complications.
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KEYWORD
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Breast, breast conserving surgery, cancer, oncoplastic surgery, resection margin
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