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World J Clin Oncol. Feb 10, 2014; 5(1): 1-18
Published online Feb 10, 2014. doi: 10.5306/wjco.v5.i1.1
Current aspects of therapeutic reduction mammaplasty for immediate early breast cancer management: An update
Alexandre Mendonça Munhoz, Eduardo Montag, Rolf Gemperli
Alexandre Mendonça Munhoz, Division of Plastic Surgery, Hospital Sírio, Libanês, São Paulo 01239-040, Brazil
Eduardo Montag, Breast Reconstruction Group, University of São Paulo School of Medicine, São Paulo 01239-040, Brazil
Rolf Gemperli, Department of Plastic Surgery, University of São Paulo School of Medicine, São Paulo 01239-040, Brazil
Author contributions: Munhoz AM contributed to the data collection, analysis and interpretation, and wrote the paper; Montag E contributed to the data collection and analysis; Gemperli R contributed to the data analysis and interpretation.
Correspondence to: Alexandre Mendonça Munhoz, MD, Professor, Division of Plastic Surgery, Hospital Sírio, Libanês, Rua Mato Grosso, 306 cj.1706 Higienópolis, São Paulo 01239-040, Brazil.
Telephone: +55-11-32551760 Fax: +55-11-32551760
Received: September 30, 2013
Revised: November 27, 2013
Accepted: December 17, 2013
Published online: February 10, 2014
Core Tip

Core tip: Recently, advances in oncoplastic techniques are capable of preserving the breast form and quality of life. Among technical options, therapeutic reduction mammaplasty remains a useful procedure since the breast-conservation surgery defect can be repaired and the preoperative appearance can be improved. Additionally, it permits wider excision of the tumor, with a superior mean volume of the specimen and potentially reduces the incidence of margin involvement. The main advantages of the technique utilized should include reproducibility, low interference with the oncological treatment and long-term results. The success of the procedure depends on patient selection, coordinated planning and careful intra-operative management.