title: Extreme oncoplastic breast surgery: A case report.
abstract: BACKGROUND
  So called "extreme oncoplastic surgery" is emerging as a new promising concept in breast cancer surgery allowing successful breast conservation in selected patients with multicentric tumors.
  
  
  METHODS
  We report the case of a 48-year-old woman presenting with a multicentric breast cancer and successfully treated with an oncoplastic technique consisting in three radical lumpectomies followed by breast reshaping and simultaneous contralateral symmetrization.
  
  
  CONCLUSIONS
  According to our experience, oncoplastic conserving breast surgery could represent a better option than the combination of mastectomy, reconstruction and radiation therapy, in terms of quality of life for selected patients affected by multicentric breast cancer.
  
  
  CONCLUSIONS
  The surgical treatment for multicentric breast cancers remains controversial even though emerging evidences show good oncological and aesthetic outcomes following oncoplastic conserving breast surgery.
authors.affiliation: Department of Senology, Asur Marche Area Vasta 1, Santa Maria della Misericordia, Via Comandino 70, Urbino, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Bordoni
authors.affiliation: Department of Plastic and Reconstructive Surgery, San Gerardo Hospital, Monza, Italy.
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Cadenelli
authors.affiliation: Breast Surgery Unit, IRCCS-Arcispedale Santa Maria Nuova, Viale Risorgimento 80, 42123 Reggio Emilia, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Falco
authors.affiliation: Department of Clinical Medicine and Surgery. University of Naples "Federico II", Naples, Italy. Electronic address: nicolarocco2003@gmail.com.
authors.forename: Nicola
authors.initials: N
authors.lastname: Rocco
authors.affiliation: Department of Radiology, Asur Marche Area Vasta 1, Santa Maria della Misericordia Hospital, Via Comandino 70, Urbino, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Manna
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Talpiot Medical Leadership Program, Sheba Medical Center, Israel.
authors.forename: Ariel
authors.initials: A
authors.lastname: Tessone
authors.affiliation: Department of Plastic Surgery, Polytechnic University of Marche, Ancona, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Ornelli
authors.affiliation: Department of Senology, Asur Marche Area Vasta 1, Santa Maria della Misericordia, Via Comandino 70, Urbino, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Magalotti
keywords: Breast cancer; Breast surgery; Case report; Oncoplastic surgery