Oncoplastic Surgery for Breast Cancer

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About this Research Topic

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Background

Oncoplastic surgery involves a set of surgical techniques and tactics that determine a better use of non-tumoral breast tissue with the objective to achieve better cosmetic results in breast cancer patients. It is influenced by breast size and cancer size/location involving volume-displacement or volume-replacement techniques. It involves mainly breast-conserving surgery techniques, subcutaneous mastectomy with prosthesis, myocutaneous surgical flaps for breast replacement. To improve cosmetic results, it involves fat grafting and symmetrization techniques. Oncoplastic is a generic term which involves surgical indication, oncologic safety, different types of surgeries, cosmesis, patient satisfaction, and quality of life. Each situation can be amplified and more studies are necessary. Indication involves tumor, breast size, and patient conditions. Surgery involves oncology safety, surgical techniques, laterality, and symmetrization. Cosmesis involves patient satisfaction and surgeon satisfaction. Quality of life is also associated to patient sequelae.
As it improves patient satisfaction, it is widely accepted, and some tumors have new surgical solutions for breast surgery constituting an important point for discussion and publication.

Oncoplastic surgery has given a new dimension to the surgical treatment of breast cancer, representing a spectrum of surgeries, ranging from small glandular remodeling to myocutaneous flaps with the addition of fat grafting. Aiming at better cosmetic results, multiple surgeries can be performed after the initial cancer treatment. As a result, new techniques have allowed for an increase in breast conservation rates, a fact that is intensified with neoadjuvant chemotherapy and extreme oncoplasty. Likewise, mastectomy has gained a new dimension, improving patient satisfaction outcomes. However, many aspects can be better addressed, such as new surgical techniques, robotic surgery, improvement of previously described techniques, association of techniques, surgical solutions in difficult situations, and professional training methodologies.

It is necessary to improve the criteria for evaluating the cosmetic response, especially in patients undergoing mastectomy. New quality of life questionnaires have appeared, but there is a lack of studies, mainly using the EORTC's BRECON23. This Research Topic will allow the discussion on many of these aspects, along with the improvement of old concepts through systematic reviews.

Oncoplastic surgery involves a set of situations, which in the current light of knowledge can be presented in different forms of publications. We welcome Original Research, Reviews, Systematic Reviews, Perspective and Opinion Articles focused on, but not limited to:
- New surgical techniques in Oncoplastic Surgery for Breast Cancer
- Robotic surgery
- Improvement of previously described techniques
- Surgical solutions in difficult situations
- Professional training methodologies.

Please note: Manuscripts consisting solely of bioinformatics, computational analysis, or predictions of public databases which are not accompanied by validation (independent cohort or biological validation in vitro or in vivo) will not be accepted in any of the sections of Frontiers in Oncology

Keywords: oncoplastic surgery, breast conserving surgery, mastectomy, segmental, mammaplasty, subcutaneous, surgical flaps, breast prosthesis implantation, quality of life

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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