Incision patterns in breast oncoplastic surgery

Abstract

BACKGROUND. Oncoplastic breast conserving surgery is a modern surgical approach that allows a surgical treatment that covers oncology and reconstruction aspects avoiding cosmetic sequelae. It is a varied surgery composing of many different techniques. OBJECTIVE. Describe the different pattern incisions used in breast conserving surgery applying oncoplastic techniques and analyse its use in a determined series of patients. METHODS. Between 2013 and 2015, 82 patients suffering from breast cancer were operated at Department of General Surgery (Hospital Valdecilla, Santander) by comprehensive breast surgeons. Data were collected prospectively including characteristics of the patients and the tumours. RESULTS. Data were collected from 82 women with a mean age of 59.04 (SD 6.2) years. Analysis showed both breasts were affected in similar proportions. Tumour localizations through the breast were: 32 in the upper outer quadrant, 12 upper intersection, 12 outer intersection, 10 central quadrant, 5 inner intersection, 4 upper inner quadrant, 3 lower inner quadrant and 3 in the lower intersection. We used different pattern incisions such as the Wise pattern, lateral or raquet, diamond, round block or donut, horizontal or omega and fusiform or parallelogram. CONCLUSIONS. A prospective data collection of oncoplastic techniques demonstrated that Wise pattern was used in more than half of patients (59%). Our experience suggests that Wise pattern is a versatile pattern that can be used in all the locations.