ArticleInternational journal of breast cancer2019
Extreme Oncoplastic Surgery for Multifocal/Multicentric and Locally Advanced Breast Cancer.
Article in International journal of breast cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Extreme oncoplasty: past, present and future.Frontiers in oncology · 2023Pooled it
- Pooled it
- Oncoplastic Breast Surgery Taking "Center" Stage-Managing Centrally Located Breast Tumors in Indian Cohort.Journal of clinical medicine · 2026Article
- Breast-Conserving Surgery in Multicentric Breast Cancer: Evolving Evidence and Patient Selection.Cancers · 2026Review
- Oncological safety and short-term aesthetic outcome of extreme oncoplasty for breast cancer.Journal of the Egyptian National Cancer Institute · 2026Article
- Oncoplastic Surgery Versus Lumpectomy: Analysis of Oncological Outcomes and Surgical Complications in 1290 Breast Cancer Patients.Current oncology (Toronto, Ont.) · 2026Article
- Review
- Moulding Breasts, Shaping Lives: Propagating Oncoplastic Surgery.Indian journal of surgical oncology · 2025Article
- Evolution of breast conserving surgery-current implementation of oncoplastic techniques in breast conserving surgery: a literature review.Gland surgery · 2024Review
- Pushing the Limits of Breast-Conserving Surgery with Extreme Oncoplasty.Breast care (Basel, Switzerland) · 2023Article
- Breast cancer patient-reported outcomes on level 1 and level 2 oncoplastic procedures using BREAST-QJournal of cancer research and clinical oncology · 2023Article
- Impact of oncoplasty in increasing breast conservation rates Post neo-adjuvant chemotherapy.Frontiers in oncology · 2023Article
- Therapeutic mammoplasty: a "wise" oncoplastic choice-lessons from the largest single-center cohort from Asia.Frontiers in oncology · 2023Article
- Latissimus dorsi myocutaneous flap repair is effective after neoadjuvant chemotherapy for locally advanced breast cancer.World journal of surgical oncology · 2022Article
- Patient Satisfaction and Surgical Outcome After Oncoplastic Reconstruction following Radical LumpectomyEuropean journal of breast health · 2022Article
- Breast conservation surgery & oncoplasty in India - Current scenario.The Indian journal of medical research · 2021Review
- Oncoplastic surgery: A suitable alternative to conventional breast conserving surgery in low - Middle income countries; a retrospective cohort study.Annals of medicine and surgery (2012) · 2021Article
- Extreme Oncoplasty: Breast Conservation in Patients with Large, Multifocal, and Multicentric Breast Cancer.Breast cancer (Dove Medical Press) · 2021Article
- Comment on "Extreme Oncoplastic Surgery for Multifocal/Multicentric and Locally Advanced Breast Cancer".International journal of breast cancer · 2019Article
- Oncological and Surgical Outcomes of Oncoplastic Reduction Mammoplasty: A Single-centre Retrospective Study.In vivo (Athens, Greece)Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionBreast conserving surgery (BCS) followed by radiation therapy (RT) has become the preferred alternative to mastectomy for patients with early stage breast cancer (BC). Randomized trials have confirmed equivalent locoregional control and overall survival for BCS and mastectomy. Extreme Oncoplasty (EO) extends the indications of BCS for patients who would otherwise require mastectomy, ensuring better aesthetic outcomes and oncological safety.
methodsBC patients with multifocal/multicentric (MF/MC) tumors, extensive DCIS, or large tumor >50mm underwent EO at our breast unit. Therapeutic reduction mammaplasty (TRM) with wise pattern preoperative markings and dual pedicle technique involving parenchymal rearrangement was used for oncoplastic reconstructions in majority of the cases followed by RT. Patient reported outcome measures (PROMs) were assessed using the validated Breast-Q questionnaire.
resultsOf the 39 patients in the study, 36 had unilateral and 3 had bilateral BC. Mean age was 47.2 years. Median tumor size was 75mm. 17 (43.6%) patients received NACT; none achieved a complete clinical response. 28 (71.8%) patients were administered to adjuvant chemotherapy. 33(84.6%) patients received RT to the breast with a median dose of 50Gy in 28 fractions and a boost dose of 10Gy in 5 fractions to the tumor bed. No major complications or local recurrences were observed. Excellent Breast-Q scores were observed in patients undergoing EO after 12 months of follow-up.
conclusionEO followed by RT results in acceptable local-regional control, low rate of complications, and high patient satisfaction. In selected patients, EO could provide a safe alternative for breast conservation surgery instead of mastectomy.
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