Alternative Approaches for Oncoplastic Breast Surgery

Excerpt

We wish to thank Dr Clough and his colleagues for their insightful atlas for oncoplastic breast surgery.1 The clear descriptions of the various approaches used for each tumor site provide the basis for good cosmesis with breast conservation. We are also advocates of parenchymal closure following wide excision and would like to suggest further approaches to expand the repertoire of techniques available to surgical oncologists. These techniques involve a combination of skin resection designs and tissue resection patterns. As Dr Clough has mentioned, incisions are best applied directly over the tumor for adequate exposure, optimal results, and minimal complications. In addition, due consideration should be given to the position of an incision to facilitate its inclusion in a mastectomy ellipse should the need arise. …