Breast Conserving Surgery (Lumpectomy)

What is Breast-Conserving Surgery (Lumpectomy)?

Breast-conserving surgery (BCS), also known as a lumpectomy, is a procedure to remove breast cancer while preserving as much normal breast tissue as possible. It is often followed by radiation therapy to reduce the risk of cancer recurrence.

Oncoplastic Techniques

Oncoplastic surgery combines cancer removal with plastic surgery techniques to improve the cosmetic outcome. These techniques help reshape the breast after tumour removal, reducing deformities or asymmetry.

Types of Oncoplastic Techniques

  1. Tissue Displacement

    • Uses the remaining breast tissue to reshape the breast after the tumour is removed.

    • Suitable for small to moderate-sized tumours in patients with adequate breast volume.

  2. Tissue Replacement (Perforator Flaps)

    • Involves transferring tissue from another part of the body (such as the back or abdomen) to fill the area left after tumour removal.

    • Commonly used flaps include:

      • Lateral InterCostal Artery Perforator (LICAP) Flap

      • ThoracoDorsal Artery Perforator (TDAP) Flap

      • Anterior InterCostal Artery Perforator (AICAP) Flap

      • Medial InterCostal Artery Perforator (MICAP) Flap

    • Suitable for larger tumours or patients with smaller breasts.

Benefits of Breast-Conserving Surgery

  • Preserves most of the natural breast tissue

  • Maintains breast shape with oncoplastic techniques

  • Shorter recovery time compared to mastectomy

  • Less psychological impact compared to complete breast removal

Breast-conserving surgery with oncoplastic techniques provides an effective cancer treatment while maintaining breast appearance. Your surgeon will guide you through the process, ensuring the best possible outcome.