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Letters Surgery for breast cancer

Oncoplastic surgery is promising

BMJ 2009; 338 doi: (Published 29 April 2009) Cite this as: BMJ 2009;338:b1743
  1. Richard M Rainsbury, consultant oncoplastic breast surgeon1,
  2. Fiona MacNeill, consultant oncoplastic surgeon2
  1. 1Royal Hampshire County Hospital, Winchester SO22 5DG
  2. 2Royal Marsden Hospital, London SW3 6JJ
  1. rrainsbury{at}

Improving cosmetic outcome is secondary to achieving thorough tumour excision,1 but new techniques in oncoplastic surgery are making both goals possible.

The oncological superiority of quadrantectomy over lumpectomy has been confirmed by level 1 evidence,2 but cosmetic deformity after quadrantectomy is common and distressing. For this reason, …

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