ESTRO Multidisciplinary Management of Breast Cancer 2017

Lipomodelling Oncological Safety

• Lipomodelling has been around for 100 years but safety concerns (imaging calcification artefact) in the 1980s caused a loss of interest. Subsequently it was realised that it is easy to tell malignant change from lipofilling artefact. • In the 1990s, Sydney Coleman reported on his technique and it saw a resurgence of popularity and an expansion of indications.

• Concerns regarding ‘adipose stem cells’ trigger cancer recurrence have never been proven.

• Numerous studies and meta analyses have confirmed oncological safety.

• UK Lipomodelling guidelines exist (Fatah et al, ABS and BAPRAS, 2012)