title: Quadrantectomy with oxidized regenerated cellulose ("QUORC"): an innovative oncoplastic technique in breast conserving surgery.
abstract: Oncoplastic surgery of the breast has generated great excitement over the past years and has become an integrated component of the surgical treatment of breast cancer. Oncoplastic procedures (OPP) associate the best surgical oncologic principles to achieve wide tumor-free margins with the best principles of plastic surgery to optimize cosmetic outcomes. Thanks to oncoplastic techniques, the role of breast conserving surgery (BCS) has been extended to include a group of patients who would otherwise require mastectomy to achieve adeguate tumor clearance. However, even with the use of OPP, cosmetic outcomes may result unsatisfying when a large volume of parenchyma has to be removed, particularly in small-medium size breasts. Recently, it has been proposed the use of ORC (Oxidized Regenerated Cellulose) as a reconstructive biomaterial to optimize the aesthetic results after OPP. The aim of this article is to describe the standard pattern of an innovative surgical oncoplastic technique with ORC, that we have called "QUORC" (QUadrantectomy with Oxidized Regenerated Cellulose), to improve cosmetic results and minimize the possible postoperative complications.
  
  
  BACKGROUND
  Breast cancer, Cosmetic results, Oncoplastic surgery results, Oxidized regenerated cellulose, QUORC.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Franceschini
authors.forename: Alejandro Martin
authors.initials: AM
authors.lastname: Sanchez
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Visconti
authors.forename: Alba
authors.initials: A
authors.lastname: Di Leone
authors.forename: Marzia
authors.initials: M
authors.lastname: Salgarello
authors.forename: Riccardo
authors.initials: R
authors.lastname: Masetti
mesh_terms: D001672:Biocompatible Materials / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000601:surgery*; D002483:Cellulose, Oxidized / Q000009:adverse effects / Q000494:pharmacology / Q000627:therapeutic use*; D003875:Drug Eruptions / Q000209:etiology; D004954:Esthetics; D005260:Female; D006801:Humans; D000072662:Margins of Excision; D015412:Mastectomy, Segmental / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D049291:Seroma / Q000209:etiology; D013536:Suture Techniques; D014945:Wound Healing / Q000187:drug effects
chemical_list: D001672:Biocompatible Materials; D002483:Cellulose, Oxidized