In breast cancer surgery, the term 'oncoplastic resection volume ratio' guides reconstruction choice. Which oncoplastic technique is BEST suited for a lower-inner quadrant tumour requiring >20% breast volume resection in a large-breasted patient?

• A Batwing mastopexy pattern
• B Racquet incision with direct closure
• C Lateral intercostal artery perforator flap
• D Wise-pattern reduction mammoplasty ✓

Explanation

Wise-pattern (inverted-T) reduction mammoplasty allows resection of lower pole tumours with simultaneous volume reduction and reshaping, giving excellent aesthetic outcomes for large-breasted patients needing >20% volume excision. The batwing pattern suits upper/central lesions, the racquet incision is for small defects, and LICAP flap is used when reduction is not feasible. Symmetrisation of the contralateral breast is performed simultaneously.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.