EASO2011 BRS 9 Clough

ONCOPLASTIC SURGERY FOR BCS WHERE ARE WE GOING ? Krishna B. CLOUGH

CONSERVATIVE TREATMENT WHERE WERE WE ? ,[object Object],[object Object],[object Object],[object Object]

CONSERVATIVE TREATMENT SIZE LIMIT ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONSERVATIVE TREATMENT : PUSHING THE LIMITS ? ,[object Object],[object Object],[object Object],[object Object]

Development of new surgical techniques: Oncoplastic surgery CONSERVATIVE TREATMENT : PUSHING THE LIMITS

BREAST CANCER SURGERY ,[object Object],[object Object],Breast surgery : two bullet rifle 1.Lumpectomy 2.Mastectomy

ONCOPLASTIC SURGERY ,[object Object],[object Object],[object Object],[object Object],Plastic surgery techniques at the time of tumor excision Audretsch, Clough, Petit, Rainsbury ,...

[object Object],ONCOPLASTIC SURGERY A new fashion ?

ONCOPLASTIC SURGERY ,[object Object],[object Object],[object Object],[object Object]

ONCOPLASTIC SURGERY CLASSIFICATION Ann Surg Oncol 2010

CONSERVATIVE TREATMENT LIMITS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONSERVATIVE SURGERY : A CLASH OF INTERESTS

CONSERVATIVE TREATMENT Cosmetic results ,[object Object],[object Object],[object Object],Volume related

POOR RESULTS AFTER BCT : CAUSES ? ,[object Object],[object Object],[object Object]

RECONTRUCTION AFTER BCT ? No mammoplasty possible !!

RECONSTRUCTION AFTER CONSERVATIVE TREATMENT ? ,[object Object],[object Object],[object Object],[object Object],Clough KB et al: AnnPlastSurg 1998, PRS 2004 Immediate reshaping PRIOR TO radiotherapy Oncoplastic surgery level 1/2

ONCOPLASTIC SURGERY PATIENT SELECTION ,[object Object],[object Object],[object Object],[object Object]

ONCOPLASTIC SURGERY PATIENT SELECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],WHO NEEDS OP SURGERY ?

WHO NEEDS OP SURGERY ? ,[object Object]

ONCOPLASTIC SURGERY: TOOLS ,[object Object],[object Object],[object Object]

VOLUME REPLACEMENT : LATISSIMUS MINIFLAP ,[object Object],[object Object],[object Object],Nogushi, Rainsbury, Dixon ...

ONCOPLASTIC SURGERY: TOOLS ,[object Object],[object Object],[object Object],[object Object],[object Object]

MAMMOPLASTY FOR BREAST CANCER (1)

" SUPERIOR PEDICLE " TECHNIQUE Clough K.B. et al, AnnChirPlastEsth 1990

" LEVEL 2 " MAMMOPLASTY TECHNIQUES ,[object Object],[object Object],?

DIVERSIFICATION OF OPS TECHNIQUES Berry JPRAS 2009

QUADRANT PER QUADRANT LEVEL 2 TECHNIQUES

ONCOPLASTIC SURGERY : ONCOLOGIC RESULTS ? Ann. Surg.,2003,237,1,26-34

[object Object],[object Object],[object Object],[object Object],ONCOPLASTIC SURGERY : ONCOLOGIC RESULTS ? Clough 2003, Rietjens 2007, Fitoussi 2010

[object Object],[object Object],[object Object],ONCOPLASTIC SURGERY : COMPLICATIONS ? Clough 2003, McCulley 2005, Kronowitz 2007

ONCOPLASTIC SURGERY COMPLICATIONS

[object Object],[object Object],[object Object],[object Object],ONCOPLASTIC SURGERY COMPLICATIONS

3-5 May 2011 29-31 0ctober 2011 [email_address]

BREAST CONSERVING SURGERY ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],ONCOPLASTIC SURGERY 2.OPS 1.Lumpectomy 3.Mastectomy

ONCOPLASTIC SURGERY IMPACT ON PRACTICE

EASO2011 BRS 9 Clough

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