A) Minimal-scar mastectomy and immediate reconstruction
In minimal-scar mastectomy, as the name implies, the breast is removed via a much smaller-sized incision. Types of minimal scar mastectomy include:
-nipple-sparing mastectomy: the breast tissue is removed while the native skin envelope and the nipple-areola complex are preserved.
-skin-sparing mastectomy: here, the breast tissue is removed, along with the nipple and areola but the skin envelope is maximally preserved.
When is mastectomy preferred?
Usually, mastectomy is advised if a) the tumour is large, b) the tumour involves more than 1 area of the breast, c) when radiation therapy is contraindicated or undesired by the patient, or d) patient’s preference.
B) Breast Conserving Surgery and oncoplastic technique for reshaping.
Breast-conserving surgery (BCS) is surgery to remove the part of the breast that has cancer, along with a rim of healthy tissue that surrounds it. The volume of tissue removed depends on various factors. A change in size and shape of the treated breast is expected. Nonetheless, oncoplastic technique can be used to reshape and maximize the outlook of the breast after BCS. After BCS is done, radiation therapy is given to the rest of the breast to lower the risk of recurrence.
When is BCS suitable?
Generally, BCS is an option for some women if her breast cancer is small, is located in 1 area of the breast, and the patient has no contraindication—and agrees—for post mastectomy radiation therapy.