Abstrakt
Breast conservation surgery (BCS) followed by radiation therapy (RT) is the local treatment of choice for an increasing percentage of women with breast cancer (BC).Surgical techniques for contemporary breast conservation are sophisticated and sensitive to aesthetic considerations. In most cases of straightforward small volume excisions, the breast parenchyma is carefully closed (level 1 oncoplastic procedures).
In addition, the skin incision is often placed remote from the tumour in a cosmetically optimal location. In more challenging cases, where resection volumes are larger or more extensive breast reshaping is required, the tumour bed margins may be substantially repositioned within the breast volume on a variety of dermoglandular pedicles, with margins often separated both from each other and from the surgical scars (level 2 oncoplastic procedures).