title: Outcome of oncoplastic breast surgery in 90 prospective patients.
abstract: BACKGROUND
  Oncoplastic breast surgery refers to a wide range of techniques with a parallel goal of safely removing all malignant breast tissue while achieving the best possible esthetic outcome. We report the results of our oncoplastic breast operations from 2005 to 2007.
  
  
  METHODS
  Ninety selected breast cancer patients were treated with a variety of oncoplastic operations. The patients were prospectively monitored. Radiotherapy and systemic adjuvant treatment were given according to national guidelines.
  
  
  RESULTS
  Fifteen patients had an immediate surgical complication, of which 8 required a reoperation. Eleven patients had an inadequate surgical margin and required a completion mastectomy. During a median follow-up of 26 months no local or regional recurrences were noticed. Three patients developed distant metastases.
  
  
  CONCLUSIONS
  Oncoplastic breast surgery offers tools for breast conservation in patients otherwise destined for mastectomy or poor esthetic outcome. Despite the high proportion of patients in this series with large-volume ductal carcinoma in situ (DCIS) or extensive intraductal component, the use of oncoplastic techniques achieved negative margins with acceptable cosmetic results in the majority (84%) of patients.
authors.affiliation: Department of Plastic Surgery and Breast Surgery Unit, Helsinki University Central Hospital, HUS, Finland. tuomo.meretoja@fimnet.fi
authors.forename: Tuomo J
authors.initials: TJ
authors.lastname: Meretoja
authors.forename: Catarina
authors.initials: C
authors.lastname: Svarvar
authors.forename: Tiina A
authors.initials: TA
authors.lastname: Jahkola
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000473:pathology / Q000601:surgery*; D018275:Carcinoma, Lobular / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D015412:Mastectomy, Segmental; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome