A 48-year-old woman with a 4.5 cm invasive ductal carcinoma of the breast undergoes breast conservation surgery. The oncoplastic surgeon performs a therapeutic reduction mammoplasty. What is the critical factor that determines feasibility of this approach?
- A Adequate breast volume to allow resection with acceptable cosmesis ✓
- B Tumor hormone receptor status
- C Patient age below 50 years
- D HER2-positive status
Correct answer: A. Adequate breast volume to allow resection with acceptable cosmesis
Explanation
Oncoplastic breast conservation combines tumor resection with plastic surgery techniques. The critical factor is having sufficient breast volume to achieve both clear margins and acceptable cosmetic outcome. Small-breasted women may not be suitable candidates. Receptor status, age, and HER2 status do not determine surgical feasibility of oncoplastic approaches.
Reference: Bailey and Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.