Partial breast resection for multifocal lower quadrant breast tumour using virtual reality

Enora Laas (1) , Mohamed El Beheiry (2, 3) , Jean-Baptiste Masson (2, 3) , Caroline Malhaire (4)

1 Departement de chirurgie [Institut Curie]
2 Décision et processus Bayesiens - Decision and Bayesian Computation
3 C3BI - Centre de Bioinformatique, Biostatistique et Biologie Intégrative
4 Département d'Imagerie Médicale [Institut Curie]

Oncoplastic surgery allows an increase in the number of indications for conservative breast cancer treatments. However, uncertainty as to whether it can be performed still exists in certain situations such as with multicentric or multifocal lesions, even when the breast volume can accommodate it. With the aid of a virtual reality software, DIVA, allowing the precise visualisation of tumours and breast volumes based entirely on the patient’s MRI, we report the ability to rapidly confirm and secure an indication for partial surgery of multiple lesions in a 31-year-old patient. With the described approach, the patient did not have to suffer significant disfigurement from cancerous breast surgery without compromising safety.

Domains: Life Sciences [q-bio]; Computer Science [cs]; Medical Imaging; Life Sciences [q-bio]; Cancer; Life Sciences [q-bio]; Human health and pathology; Surgery

Enora Laas, Mohamed El Beheiry, Jean-Baptiste Masson, Caroline Malhaire. Partial breast resection for multifocal lower quadrant breast tumour using virtual reality. BMJ Case Reports, 2021, 14 (3), pp.e241608. ⟨10.1136/bcr-2021-241608⟩. ⟨pasteur-04008370⟩