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Oncoplastic Breast Reconstruction

Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Oncoplastic Reconstruction of Lumpectomy Defects and Radiation Therapy

Lumpectomy and radiation are a reasonable method to treat many breast cancers. The goals after lumpectomy are to get all of the wounds healed by six weeks so that the patient can proceed to radiation in a timely manner. The skin often tolerates radiation well after lumpectomy. The more intact and heartier the blood supply to the skin, the better…

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Oncoplastic Reconstruction of Lumpectomy Defect 20 years Post-Radiation

Oncoplastic Reconstruction of Lumpectomy Defect 20 years Post-Radiation

Many breast cancer patients have been treated with lumpectomy and radiation therapy. In some patients, the lumpectomy defect and the whole breast radiation can cause significant changes or deformities to the breast. In the before and after photograph shown, the patient had previous right breast cancer treated with lumpectomy and radiation. The lumpectomy defect as well as the whole breast…

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Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Oncoplastic Reconstruction of Lumpectomy Defects in Elite Athletes

Breast cancer reconstruction is an area of my practice which is rewarding as we are often able to successfully treat a patient’s breast cancer effectively, yet at the same time prevent a deformity of the breast or in some cases enhance the appearance of the breast. Elite athletes who have successfully completed IronMan/IronWoman triathlons are patients who are dear to…

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Latissimus Dorsi Flap Mastectomy Breast Reconstruction

Latissimus Dorsi Flap Mastectomy Breast Reconstruction

The latissimus dorsi flap is an important and very versatile flap for breast reconstruction. The latissimus flap almost always requires a breast implant to add volume to the breast reconstruction in order to match the contralateral breast. The latissimus dorsi flap can be harvested and transferred with a skin paddle to replace a missing nipple areola complex or it can…

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Breast Cancer: Oncoplastic Reconstruction of Lumpectomy Defects and Intra-Operative Radiation Therapy.

Breast Cancer: Oncoplastic Reconstruction of Lumpectomy Defects and Intra-Operative Radiation Therapy.

In certain patients with breast cancer, they may be a candidate for a lumpectomy with oncoplastic reconstruction and intra-operative radiation therapy.  In patients with smaller tumors and certain biologic characteristics radiation can be undertaken at the time of lumpectomy during the operation. This can have fewer deleterious effects on the breast tissue, skin, and the overall aesthetic result. Oncoplastic reconstruction…

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Oncoplastic Reconstruction of Breast Cancer Lumpectomy Defects.

Oncoplastic Reconstruction of Breast Cancer Lumpectomy Defects.

There are many different ways to reconstruct the breast following lumpectomy. Oncoplastic reconstruction of lumpectomy defects can provide excellent exposure for the oncologic breast surgeon to perform a lumpectomy and it can also allow the breast to be reconstructed in an aesthetic fashion. The mastopexy or breast lift component of the reconstruction can make a more compact target for radiation…

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Oncoplastic Reconstruction of Lumpectomy Defects-Upper Outer Quadrant Split Reductions and IORT

Oncoplastic Reconstruction of Lumpectomy Defects-Upper Outer Quadrant Split Reductions and IORT

Tumors of the upper outer quadrant of the breast and with certain characteristics can be excised with lumpectomy, intra-operative radiation therapy, and oncoplastic reconstruction of the lumpectomy defect. In general, tumors that are amenable to lumpectomy and IORT tend to be less than 3 cm, estrogen receptor positive, unifocal, and have negative lymph node status. When a breast undergoes a…

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Oncoplastic Reconstruction of Lumpectomy Defects. Healing Phases and Early Post-Operative Results.

Oncoplastic Reconstruction of Lumpectomy Defects. Healing Phases and Early Post-Operative Results.

When patients choose to undergo lumpectomy and when the cancer resides outside of the standard Wise mastopexy pattern, the pattern is sometimes adjusted to remove the skin above the tumor. This will help the oncologic surgeon remove the skin above the tumor and help to clear the anterior margin. When the incisions are sutured closed the final suture placed is…

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