Extreme Oncoplasty following neoadjuvant chemotherapy

Extreme oncoplasty is a breast conserving operation, using oncoplastic techniques, in a patient who, in most physicians’ opinions, requires a mastectomy. These are generally large, greater than 5 cm multifocal or multicentric tumors. They may be locally advanced. Many will have positive lymph nodes. Most of these patients will require radiation therapy, even if they are treated with mastectomy. The reason to save a breast like this is that in many cases, breast conservation may be a better alternative