Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola.

Surgery Today
Yuko KijimaShoji Natsugoe

Abstract

The treatment of early breast cancer using breast conservation therapy (BCT) commonly ensures local control and acceptable cosmetic results. We herein report a useful technique to obtain symmetry of the breast shape and a level inframammary line and nipple-areola, which achieved excellent results. Six Japanese patients with early breast cancer located on the upper area of the breast were enrolled into this study. A triangle-shaped area of skin was removed together with cancerous and healthy-surrounding breast tissue. Two crescents were designed and de-epithelialized in the directions of 9 o'clock and 3 o'clock. The width of the crescent was decided to be the same as a half or the length of the base of a triangle to be removed. After partial mastectomy, the inner and outer glandular flaps were horizontally sutured. The operations were simple to perform and were not associated with any postoperative complications. Oncoplastic breast surgery combining partial mastectomy with triangular skin resection and re-centralization of the nipple-areola was useful for patients with breast cancer on the upper quadrant area of non-ptotic breasts.

References

Nov 11, 1999·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S K Al-GhazalA A Morgan
Sep 7, 2000·Journal of the National Cancer Institute·J H RowlandP A Ganz
Feb 18, 2004·The Breast : Official Journal of the European Society of Mastology·J M DixonP Chan
Apr 3, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yuko KijimaTakashi Aikou
Sep 17, 2011·Surgery Today·Yuko KijimaShoji Natsugoe
Mar 23, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A ChakravortyF A Macneill
Sep 18, 2012·World Journal of Surgery·Alexandra GrubnikGereth Edwards

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