title: Oncoplastic surgery in breast conservation: a prospective evaluation of the patients, techniques, and oncologic outcomes.
abstract: BACKGROUND
  The oncologic efficacy of breast-conserving therapies has been established in recent decades. Oncoplastic breast surgery (OBS), as a leap forward in breast conservation, offers concomitant techniques of oncologic and plastic surgeries that grant better esthetic results. The outcomes of our oncoplastic surgeries from 2007 to 2012 are reported.
  
  
  METHODS
  A series of 258 cases with breast masses (18 benign and 240 carcinomas) were operated on by OBS techniques and prospectively followed. Neoadjuvant and adjuvant oncologic treatments were also delivered as indicated.
  
  
  RESULTS
  Free margins were obtained in 95% of cancer patients. During the 26 months of follow-up, local recurrence happened in 7 (2.9%) patients, of which 1 underwent oncologic therapies and 6 underwent completion mastectomy. Complications postponed adjuvant therapies in 3 (1.2%) patients. Postsurgically, metastases were diagnosed in 8 (3.3%) patients. Two patients (.8%) died of cancer.
  
  
  CONCLUSIONS
  Outcomes of OBS are oncologically acceptable with low frequencies of positive margins and recurrence, while cosmetic results are much improved by OBS.
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences (TUMS), P.O. Box 13145-158, Tehran, Iran; Department of Research, Kaviani Breast Diseases Institute (KBDI), P.O. Box 14358-6443, Tehran, Iran. Electronic address: akaviani@tums.ac.ir.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Kaviani
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences (TUMS), P.O. Box 13145-158, Tehran, Iran; Department of Research, Kaviani Breast Diseases Institute (KBDI), P.O. Box 14358-6443, Tehran, Iran.
authors.forename: Amin
authors.initials: A
authors.lastname: Safavi
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences (TUMS), P.O. Box 13145-158, Tehran, Iran.
authors.forename: Narjes
authors.initials: N
authors.lastname: Mohammadzadeh
authors.affiliation: Department of Research, Kaviani Breast Diseases Institute (KBDI), P.O. Box 14358-6443, Tehran, Iran.
authors.forename: Khatereh
authors.initials: K
authors.lastname: Jamei
authors.affiliation: Department of Research, Kaviani Breast Diseases Institute (KBDI), P.O. Box 14358-6443, Tehran, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Ansari-Damavandi
authors.affiliation: Hôpital des Peupliers, 80 Rue de la Colonie, Paris 75013, France.
authors.forename: Remy J
authors.initials: RJ
authors.lastname: Salmon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000401:mortality / Q000601:surgery*; D002277:Carcinoma / Q000401:mortality / Q000601:surgery; D005260:Female; D018226:Fibroadenoma / Q000401:mortality / Q000601:surgery; D005348:Fibrocystic Breast Disease / Q000401:mortality / Q000601:surgery; D005500:Follow-Up Studies; D058890:Granulomatous Mastitis / Q000401:mortality / Q000601:surgery; D006801:Humans; D015409:Mastectomy, Radical / Q000706:statistics & numerical data; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D003557:Phyllodes Tumor / Q000401:mortality / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation / Q000706:statistics & numerical data; D016896:Treatment Outcome
keywords: Breast cancer; Breast conservation; Oncologic outcomes; Oncoplastic breast surgery