Oncoplastic breast reduction involves coordination of management of breast cancer between the breast surgeon and the reconstructed plastic surgeon. It involves a large lumpectomy to remove the cancer and then Simultaneous breast reduction to reduce the breast size and reshape the skin. All patients are then required to undergo radiation to prevent breast cancer from returning in the remaining breast tissue. This is a useful technique especially and larger breasted individuals as the cancer resection can be usually larger and the resulting deformity after radiation and minimized. It does require knowledge of multiple breast reduction techniques.
This patient underwent a large oncoplastic reduction. She is a 51-year-old woman with triple negative breast cancer in the left lower breast. She was obese with a BMI of 48 and wore a size 58G cup brassiere. She also has sleep apnea. This put her at very high risk of complications. She underwent reduction on the right side of 1300 g or about 3 pounds of breast. The left side had a similar amount removed including the lumpectomy specimen she healed very well and went on to complete radiation to finish her management. She is very pleased with the reduced breast size. She did have pre-existing neck and back pain which were alleviated by the reduction. She has successful management of her breast cancer as well.
Oncoplastic reduction should be considered and the options available especially in women with larger breasts.