Targeted oncoplastic breast surgery (TOBS) – classification of breast-conserving techniques

Background: Most patients presenting with breast cancer are treated by breast-conserving therapy (BCT). Some of these patients present with poor cosmetic results after surgery. To avoid partial defects after BCT a wide spectrum of reconstructive techniques have been published. Material and Methods: We prospectively defined five major principles in targeted oncoplastic breast surgery based on the localization, size of the segmental resection defect, size of the breast and the necessity for skin resection during breast-conserving therapy: BCT-glandular rotation, BCT-dermoglandular rotation, BCT-tumoradapted reduct…