From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University; and the Division of Surgical Oncology, Division of Plastic Surgery, Tufts Medical Center/Tufts School of Medicine.
Plast Reconstr Surg. 2021 Jan 1;147(1):123e-134e. doi: 10.1097/PRS.0000000000007478.
After studying this article, the participant should be able to: 1. Describe the risks, benefits, and safety profile of oncoplastic procedures for partial breast reconstruction, and how they compare to breast conservation-therapy alone. 2. Have a working knowledge of oncoplastic techniques and how they are addressed from the multidisciplinary perspective. 3. Understand the limitations of oncoplastic techniques and how to avoid unfavorable results.
Oncoplastic surgical techniques have expanded indications for breast conservation and have improved both oncologic and reconstructive outcomes. This article will focus on some of the barriers to adoption and discuss ways to improve safety through streamlining the process, understanding the oncologic concerns, and evaluating unfavorable outcomes that might interfere with the appropriate delivery of breast cancer care.
学习本文后，参与者应能够：1. 描述保乳手术联合局部乳房重建术的风险、获益和安全性，以及其与单纯保乳治疗的对比。2. 了解整形手术技术，并从多学科的角度探讨其处理方法。3. 理解整形手术技术的局限性以及如何避免不良结果。
整形手术技术扩大了保乳适应证，改善了肿瘤学和重建结果。本文将重点介绍一些采用这些技术的障碍，并讨论如何通过简化流程、了解肿瘤学问题以及评估可能影响乳腺癌护理的不良结果来提高安全性。
