title: The role of oncoplastic therapeutic mammoplasty in breast cancer surgery--a review.
abstract: BACKGROUND
  Reduction mammoplasty is an established technique for symptom relief in women with breast hypertrophy. Therapeutic mammoplasty and radiotherapy may allow cancers to be surgically treated whilst maintaining oncological safety and improving cosmetic outcome. This article aims to review the evidence upon which therapeutic mammoplasty is based and to outline an approach for surgical planning and selection.
  
  
  METHODS
  A systematic PubMed and Medline literature search was carried out. All abstracts were studied and papers that dealt primarily with breast conservation using plastic surgery techniques were reviewed.
  
  
  CONCLUSIONS
  Therapeutic mammoplasty is a useful procedure for breast conserving cancer surgery in women with large breasts, conferring a good cosmetic and functional outcome. This article proposes that breast surgeons experienced in oncological surgery can safely resect tumours from all aspects of the breast with a minimal number of variations in standard mammoplasty technique.
authors.affiliation: Breast Unit, Department of Surgery, Sunderland University Hospital, Kayll Road, Sunderland, Tyne & Wear, UK.
authors.forename: O C
authors.initials: OC
authors.lastname: Iwuchukwu
authors.forename: J R
authors.initials: JR
authors.lastname: Harvey
authors.forename: M
authors.initials: M
authors.lastname: Dordea
authors.forename: A C
authors.initials: AC
authors.lastname: Critchley
authors.forename: P J
authors.initials: PJ
authors.lastname: Drew
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D015412:Mastectomy, Segmental / Q000009:adverse effects / Q000379:methods*; D010347:Patient Care Planning; D011364:Professional Practice