Oncoplasty in the management of breast cancer patients [Technique chirurgicale : Oncoplastie dans le traitement conservateur du cancer du sein]

摘要

Management of operable breast cancer requires more and more the use of oncoplatic techniques. The concept of & quot;anticipation" is as the prediction of response in medical oncology a key point of the surgical management. Historically the first technique was the bilateral reduction mammoplasty, a classical platic surgery technique, for the lower quadrants tumors. Among the last ten years several new techniques were described to arrive at the concept of & quot;one quadrant, one technique". Externals cancers are the most frequent location of the disease and the external mammoplasty became a routine technique in expert centers. However a specific training remains necessary and there is not enough specific teaching because of the large number of surgeons asking for such training and the small number of teachers. Finally, the knowledge of chemotherapy and radiation therapy are a pre requisite for breast cancer surgery as well as the principles of surgery must be known bymedical oncologists and radiation therapists.