Local Breast Cancer Treatment based on Targeted Oncoplastic Breast Surgery (TOBS) and Breast Imaging

Michael Friedrich^* & Stefan Kraemer

Department of Obstetrics and Gynecology and Breast Center, HELIOS Medical Center, Germany

Dr. Michael Friedrich, Department of Obstetrics and Gynecology and Breast Center, HELIOS Medical Center, Germany.

Keywords: Breast Cancer; Breast Imgaging; Mammography; Breast Ultrasound; Magnetic Resonance Mammography; Oncoplastic Surgery; Interventional Breast Diagnostics

Abstract

Preoperative staging of breast cancer based on breast imaging (mammography, breast sonography and breast magnetic resonance tomography (MR-mammography)) is mandatory. Earlier diagnosis of breast cancer leads more likely to favourable oncological outcome. Histological results of different Interventional procedures guided by ultrasound, stereotactic mammography or magnetic resonance in sense of image-guided wire markings are the basis for planning surgical resection margins in oncoplastic breast-conserving surgery. A new concept of targeted oncoplastic breast surgery was developed to standardize published surgical methods, and to optimize oncological and aesthetic outcomes during breast-conserving therapy in an academic breast center. Even after the new SSO-ASTRO-consensus guideline on margins for breast-conserving surgery with whole breast irradiation in stage I and II invasive breast cancer, a practice-relevant rational and indication for targeted oncoplastic breast surgery can be demonstrated. This review gives an overview about the influences of breast imaging, interventional procedures and wire markings on the breast-conserving therapy of breast cancer in the sense of targeted oncoplastic breast surgery.

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