The initial idea to write a book on oncoplastic techniques was raised through a meeting on breast cancer treatment in Saalfelden, A- tria two years ago. Contrary to the rather minor role breast surgery is conceded today compared to other treatment modalities the s- geons role on the further outcome of the disease is crucial and never compensated by radiation or adjuvant therapy. Whereas surgery a decade ago was merely excision of the cancer and closure of the wound leaving behind a mutilated breast in many women, the advent of oncoplastic surgery completely changed the modern surgical approach to breast cancer. The concept of oncoplastic breast surgery combines oncologic - mor resection - either breast conservation or mastectomy - with t- ditional or less traditional plastic surgical techniques. The primary goal is to achieve an optimal cosmetic result with long time local tumor control. Some (non - randomized) studies available in patients following breast conservation oncoplastic surgery showed tumor resection to be associated with wider free margins, less patients needing re-operation surgery for involved or close margins, a widening of the indications for breast conser- tion surgery, a low complication rate and at least an equal local recurrence rate. There is no doubt that oncoplastic breast surgery experienced a r- id rise with more patients demanding this kind of surgery. However, a profound knowledge of the different oncoplastic techniques is - sential for the outcome.

Table of Contents:
Editorial From the editors Invited editorial General Surgery Surgical Anatomy Breast cancer surgery: standard principles Oncoplastic surgery: definition, advantages, disadvantages and indications Oncoplastic Surgery (OPS) OPS and Breast Conservation Surgery (BCS) BCS and Immediate Reconstruction - Local Techniques = Local in Breast Tissue Flaps Superior Pedicle Reconstruction of Partial Mastectomy Defects: Superior Pedicle Reduction Mammaplasty Inferior Pedicle Mammaplasty for Reconstruction of Partial Mastectomy Defects Medial or Lateral Pedicle Vertical Breast Reduction (Hall-Findlay or Snowman Technique) Round Block Technique (Doughnut Mastopexy) Superior Pedicle Mammaplasty and Reconstruction of Quadrantectomy Defects with Inferior Pedicle Flaps Batwing Technique S-Shaped Oblique Reduction Mammaplasty for Reconstruction of Partial Mastectomy Defects Immediate Reconstruction of Central Quadrantectomy Defects with a Rotation Flap - The Grisotti Technique Intramammarian Flap Technique B-Plasty for Reconstruction of Partial Mastectomy Defects BCS and Immediate Reconstruction - Flaps Partial Mastectomy / BCS and Reconstruction with Latissimus Partial Mastectomy: Breast Reconstruction with the Pedicled Thoracoepigastric Flap OPS and Mastectomy Resection Techniques Nipple and Skin Sparing Mastectomy Implant Reconstruction Immediate Breast Reconstruction with Implants Immediate Reconstruction After Mastectomy: Reconstruction with Tissue Expanders Autologous Reconstruction Breast Reconstruction with the Latissimus Dorsi Muscle Flap Immediate Breast Reconstruction: The Pedicled TRAM Flap Reconstruction After Mastectomy: DIEP and Muscle-/ Fascia-Sparing TRAM Flap Transverse Myocutaneous Gracilis Flap for Immediate Skin-Sparing Mastectomy Breast Reconstruction Special Considerations Breast Cosmetic Analyses Nipple Reconstruction and Contralateral Adaptation Radiological Findings Following Breast Conserving Oncoplastic Surgery Lipofilling of Tissue Defects Following Breast Conservation Oncoplastic Breast Conserving Surgery for Late Reconstruction of Partial Breast Defects Defect Reconstruction After Partial Mastectomy with Flaps