ESTRO Multidisciplinary Management of Breast Cancer 2017

Indications for Primary Oncoplastic Surgery

• Relatively large tumour compared to breast size and patient/disease not suitable for neoadjuvant therapy.

• Adverse location: medial, inferior or central

• Large breast size such that patient may benefit from reduction or uplift and risk of radiotherapy induced lymphoedema and severe radiotherapy side effects

• Likelihood of nipple malposition after surgery

• Likelihood of size or shape asymmetry