ONKOPLASTİK MEME CERRAHİSİ TEKNİKLERİNİN TEMELLERİ, NUH ZAFER CANTÜRK, Editör, Turkiye Klinikleri, Ankara, ss.21-27, 2026
Umberto Veronesi, pioneer of modern breast surgery, declared that ladies who are conscious about breast cancer and attend screening programs must be encouraged and must not be punished with heavy and unacceptable treatments. From yesterday to today, breast cancer surgery has changed from radical mastectomy to oncoplastic breast surgery (OPBS) with oncological and aesthetic targets. The philosophy of OBS integrates oncological safety with cosmetic principles to enhance the psychological and physical well-being of breast cancer patients. The core principles of the philosophy of oncoplastic surgery are represented below. The primary goal of OPBS is to remove the tumor with clear margins for oncological safety. OPBS embodies a patient-centered approach that combines effective oncologic treatment with a commitment to aesthetic preservation. Oncoplastic Techniques aim to maintain or restore the natural shape and symmetry of the breast. Patients are involved in decision-making, with a clear understanding of their surgical options, Success requires collaboration among surgeons, oncol-ogists, radiologists, pathologists, and plastic surgeons to create a unified treatment plan. Techniques focus on reducing surgical complications and preserving breast functionality. OPBS helps patients regain body confidence and self-esteem and increases Quality of Life. OPBS mixes oncological and plastic surgery principles, creating innovative procedures tailored to individual patients. Psychological counseling and patient education are integral to the care plan. The training of surgeons in both onco-logical and reconstructive techniques offers optimal care. In essence, the philosophy of oncoplastic surgery revolves around treating breast cancer not only as a disease to be cured but as a condition that requires comprehensive care to restore the patient's overall sense of identity, dignity, and quality of life. Surgeons and patients still debate which of the oncological results, cosmetic data, and changes in qual-ity of life taken into account for evaluating disease-free survival and local recurrence are important