SavedAdd your journal

Journals / Atlas Journal of Medicine / 2026 / Cilt: 6 Sayı: Özel Sayı 1 Özel Sayı

Oncoplastic and Reconstructive Approaches in Breast Cancer Surgery: Current Practices and Techniques

Meme kanseri cerrahisinde onkoplastik ve rekonstrüktif yaklaşımlar: güncel pratik ve teknikler

Işıl Akgün Demir(İSTANBUL ATLAS ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2047-9779
Sevgi Kurt(İSTANBUL ATLAS ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-3416-8605
Pages
40–48
Publication Date
2026-05-08
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Modern oncoplastic and reconstructive methods play a vital role in restoring anatomical and aesthetic integrity, thereby significantly improving the quality of life for patients after breast cancer treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Although advanced-stage and even metastatic breast cancer cases are still encountered today, advances in imaging and diagnostic techniques now allow for earlier detection.
📊
Key Findings & Data:In addition, genetic testing enables the identification of high-risk individuals, allowing for risk-reducing prophylactic mastectomy decisions.
💡
Conclusion & Impact:Modern oncoplastic and reconstructive methods play a vital role in restoring anatomical and aesthetic integrity, thereby significantly improving the quality of life for patients after breast cancer treatment.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:meme rekonstrüksiyonu · mastektomi · onkoplastik cerrahi

Abstract

Although advanced-stage and even metastatic breast cancer cases are still encountered today, advances in imaging and diagnostic techniques now allow for earlier detection. In addition, genetic testing enables the identification of high-risk individuals, allowing for risk-reducing prophylactic mastectomy decisions. Preserving breast integrity is of great importance for both the physical and psychological well-being of women. In suitable cases, breast-conserving surgery is preferred to maintain the natural structure of the breast as much as possible. In cases requiring larger resections or total mastectomy, reconstructive options come into play. This review discusses the historical evolution of breast reconstruction, the development of techniques in oncoplastic and reconstructive surgery, potential complications, and the importance of a multidisciplinary approach. Modern oncoplastic and reconstructive methods play a vital role in restoring anatomical and aesthetic integrity, thereby significantly improving the quality of life for patients after breast cancer treatment.

Özet

Günümüzde ileri ever ve hatta metastatik meme kanseri vakaları hâlâ görülmektedir. Ancak gelişmiş görüntüleme ve tanı yöntemleri sayesinde erken tanı konulabilmekte, genetik testler sayesinde riskli hastalara profilaktik mastektomi kararı alınarak risk azaltılabilmektedir. Kadınların hem fiziksel hem ruhsal sağlığı açısından meme bütünlüğünün korunması büyük önem taşır. Uygun hastalarda meme koruyucu cerrahi tercih edilip memenin orijinal yapısı büyük ölçüde korunurken, daha büyük rezerksiyonlar veya memenin tamamının alınması gerektiği durumlarda rekonstrüktif seçenekler devreye girer. Bu derlemede meme rekonstrüksiyonunun tarihsel süreci, onkoplastik ve rekonstrüktif cerrahideki tekniklerin evrimiyle beraber karşılaşılabilecek komplikasyonlar ve multidisipliner yaklaşımın önemi tartışılmıştır. Modern onkoplastik ve rekonstrüktif yaklaşımlar, meme kanseri sonrası hastaların anatomik ve estetik bütünlüğünü sağlayarak yaşam kalitelerinin arttırılmasında önemli bir rol oynar.

🔖

Cite This Article

Demir, I. A., Kurt, S. (2026). Oncoplastic and Reconstructive Approaches in Breast Cancer Surgery: Current Practices and Techniques. Atlas Journal of Medicine, Cilt: 6 Sayı: Özel Sayı 1 Özel Sayı, 40–48. https://doi.org/10.54270/atljm.2026.120

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (36)

  1. Ewertz M, Jensen AB. Late effects of breast cancer treatment and potentials for rehabilitation. Acta Oncol. 2011 Feb;50(2):187-93.
  2. Champaneria MC, Wong WW, Hill ME ve ark. The evolution of breast reconstruction: a historical perspective. World J Surg. 2012 Apr;36(4):730-42.
  3. Uroskie TW, Colen LB. History of breast reconstruction. Semin Plast Surg. 2004 May;18(2):65-9.
  4. Marshall DR. The contralateral breast flap in reconstruction of the breast and chest wall. Ann Plast Surg. 1993 Dec;31(6):508-13.
  5. Dakin RL, Jobe RP. Toward a more natural breast: the interpolated thoracoepigastric pedicle in breast reconstruction. Plast Reconstr Surg. 1991 Sep;88(3):510-3.
  6. Cronin TD, Brauer RO. Augmentation mammaplasty. Surg Clin North Am. 1971 Apr;51(2):441-52. doi: 10.1016/s0039-6109(16)39388-4.
  7. Snyderman RK, Guthrie RH. Reconstruction of the female breast following radical mastectomy. Plast Reconstr Surg. 1971 Jun;47(6):565-7.
  8. Radovan C. Breast reconstruction after mastectomy using the temporary expander. Plast Reconstr Surg. 1982 Feb;69(2):195-208.
  9. Goh SC, Thorne AL, Williams G ve ark. Breast reconstruction using permanent Becker expander implants: an 18 year experience. Breast. 2012 Dec;21(6):764-8.
  10. Margulies IG, Salzberg CA. The use of acellular dermal matrix in breast reconstruction: evolution of techniques over 2 decades. Gland Surg. 2019 Feb;8(1):3-10.
  11. Robbins TH. Rectus abdominis myocutaneous flap for breast reconstruction. Aust N Z J Surg. 1979 Oct;49(5):527-30.
  12. Hartrampf CR, Scheflan M, Black PW. Breast reconstruction with a transverse abdominal island flap. Plast Reconstr Surg. 1982 Feb;69(2):216-25.
  13. Healy C, Allen RJ Sr. The evolution of perforator flap breast reconstruction: twenty years after the first DIEP flap. J Reconstr Microsurg. 2014 Feb;30(2):121-5.
  14. Myers PL, Nelson JA, Allen RJ Jr. Alternative flaps in autologous breast reconstruction. Gland Surg. 2021 Jan;10(1):444-59.
  15. Clark P, DiPasquale A, Cocco D ve ark. Oncoplastic Surgery: Where Are We Now? J Surg Oncol. 2025 Feb;131(2):124-32.
  16. Rancati A, Gonzalez E, Dorr J ve ark. Oncoplastic surgery in the treatment of breast cancer. Ecancermedicalscience. 2013;7:293.
  17. Peled AW, Sbitany H, Foster RD ve ark. Oncoplastic mammoplasty as a strategy for reducing reconstructive complications associated with postmastectomy radiation therapy. Breast J. 2014 May-Jun;20(3):302-7.
  18. Clough KB, Kaufman GJ, Nos C ve ark. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010 May;17(5):1375-91.
  19. Galimberti V, Zurrida S, Zanini V ve ark. Central small size breast cancer: how to overcome the problem of nipple and areola involvement. Eur J Cancer. 1993;29A(8):1093-6.
  20. Matkowski R, Szynglarewicz B, Kasprzak P ve ark. Batwing mastopexy as oncoplastic surgical approach to periareolar tumors in upper quadrants. Tumori. 2012 Jul-Aug;98(4):421-7.
  21. Deigni OA, Baumann DP, Adamson KA ve ark. Immediate Contralateral Mastopexy/Breast Reduction for Symmetry Can Be Performed Safely in Oncoplastic Breast-Conserving Surgery. Plast Reconstr Surg. 2020 May;145(5):1134-42.
  22. Morrison KA, Frey JD, Karp N ve ark. Revisiting Reduction Mammaplasty: Complications of Oncoplastic and Symptomatic Macromastia Reductions. Plast Reconstr Surg. 2023 Feb 1;151(2):267-76.
  23. Hillberg NS, Meesters-Caberg MAJ, Beugels J ve ark. Delay of adjuvant radiotherapy due to postoperative complications after oncoplastic breast conserving surgery. Breast. 2018 Jun;39:110-6.
  24. Gruber RP, Kahn RA, Lash H ve ark. Breast reconstruction following mastectomy: a comparison of submuscular and subcutaneous techniques. Plast Reconstr Surg. 1981 Mar;67(3):312-7
  25. Scheflan M, Colwell AS. Tissue reinforcement in implant-based breast reconstruction. Plast Reconstr Surg. 2014 Aug 4;2(8):e192.
  26. Spear SL, Parikh PM, Reisin E, Menon NG. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg 2008; 32:418-25.
  27. Salzberg CA. Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm). Ann Plast Surg 2006; 57:1-5.
  28. Nahabedian MY. AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation. Plast Reconstr Surg 2009; 124:1743-53.
  29. Spear SL, Boehmler JH, Taylor NS, Prada C. The role of the latissimus dorsi flap in reconstruction of the irradiated breast. Plast Reconstr Surg 2007; 119:1-9.
  30. Menke H, Erkens M, Olbrisch RR. Evolving concepts in breast reconstruction with latissimus dorsi flaps: results and follow-up of 121 consecutive patients. Ann Plast Surg 2001; 47:107-14.
  31. Guerra AB, Metzinger SE, Bidros RS ve ark. Breast reconstruction with gluteal artery perforator (GAP) flaps: a critical analysis of 142 cases. Ann Plast Surg 2004; 52:118-25.
  32. Granzow JW, Levine JL, Chiu ES ve ark. Breast reconstruction with gluteal artery perforator flaps. J Plast Reconstr Aesthet Surg 2006; 59:614-21.
  33. Fansa H, Schirmer S, Warnecke IC ve ark. The transverse myocutaneous gracilis muscle flap: a fast and reliable method for breast reconstruction. Plast Reconstr Surg 2008; 122:1326-33.
  34. Arnez ZM, Pogorelec D, Planinsek F ve ark. Breast reconstruction by the free transverse gracilis (TUG) flap. Br J Plast Surg 2004; 57:20-6.
  35. Mirzabeigi MN, Sbitany H, Jandali S ve ark. The role of postoperative antibiotics in reducing biofilm-related capsular contracture in augmentation mammaplasty. Plast Reconstr Surg 2011; 128:34-5e.
  36. Meshkin DH, Firriolo JM, Karp NS ve ark. Management of complications following implant-based breast reconstruction: a narrative review. Ann Transl Med. 2023 Dec 20;11(12):416.