Risk Factors for Local Recurrence in Oncoplastic Breast Surgery

Minimal Tissue Resection

Abstract

Oncoplastic breast surgery achieves both cosmetic and curative outcomes. However, breast surgeons often resect tissue excessively due to their focus on the complete and safe removal of breast cancer tissue.

To determine the optimal oncoplastic breast surgical method, we analyzed and identified risk factors for local recurrence in patients who underwent breast cancer surgery by the same surgeon. The study suggested that postoperative local recurrence is affected by the patient's background factors, not local surgical treatment factors. In addition, resection of the skin immediately above the tumor, which is standardly performed, is not always necessary and minimal tissue resection will not reduce curability.

We discuss personalized oncoplastic surgical methods that may lead to optimal minimal tissue resection by assuming risk factors for local recurrence based on the background factors of patients in the preoperative stage.