Oncoplastic Breast Conserving Surgery: Functional Outcomes and Quality of Life
A special issue of Current Oncology (ISSN 1718-7729).
Deadline for manuscript submissions: closed (31 December 2024) | Viewed by 1099
Special Issue Editor
Special Issue Information
Dear Colleagues,
Today, conservative oncoplastic surgery techniques represent an increasingly widespread tool in breast cancer treatment, enabling an improvement in cosmetic results without a compromise in oncological radicality.
These procedures require a correct preoperative planning, oriented on the volume and location of the resection, in addition to the patient's morphology. The type of glandular and skin remodeling is discussed with the patient in the pre-surgical phase, after accurate information on the risks and benefits of any unilateral or bilateral technique have been determined.
Compared to type 1 procedures, which generally involve a unilateral approach, Type 2 procedures (therapeutic mammoplasty), offer a greater resective potential. However, they generally require the use of contralateral surgery to obtain symmetry, immediately before or after the completion of adjuvant therapies.
The benefits of type 2 techniques can be relevant, offering patient the possibility of preserving their breasts, with useful implications from an aesthetic and psycho-social point of view.
However, the greater complexity of type two techniques ("therapeutic mammoplasty") involves increased surgical risks, longer operating times, more extensive incisional patterns and the need for a greater motivational aspect from the patient, who must be carefully evaluated by a specialist surgeon.
In fact, therapeutic mammoplasty involves an alteration of the body image in accordance with some aesthetic and morphological criteria, but all this is measured in the context of an oncological disease which determines the need for multidisciplinary treatments with a great emotional and physical commitment.
Therefore, the quality of these techniques (type 1 or 2) must also be measured by analyzing the satisfaction experienced by the patient in conducting their social and relational activities, which are fundamental in maintaining a broader concept of personal health.
This Special Issue aims to provide an overview of the role of oncoplastic breast conserving procedures in modern comprehensive and multidisciplinary breast cancer care, with a focus on aesthetic and functional results including a specific assessment of the quality of life of patients after surgery.
In fact, the correct indications for these specialist procedures represent the basis for correct care planning, a process which considers psycho-physical integrity and the achievement of correct expectations as the essential goals of a high-quality treatment pathway.
Dr. Paolo Orsaria
Guest Editor
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Keywords
- oncoplastic surgery
- therapeutic mammoplasty
- displacement procedures
- contralateral reduction
- quality of life
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