title: [Conservative surgical treatment of retro-areolar breast tumors. Local control and esthetic results].
abstract: OBJECTIVE
  A retrospective study of local faiture and cosmetic results after conservative surgery for retroareolar breast cancer.
  
  
  RESULTS
  Seventy-seven patients underwent a conservative surgical procedure between 1983 and 1994. Median follow-up was 37,5 months. Fourteen patients experienced a recurrence (5 local, 2 local and distant, 7 distant). Only two probably interrelated factors were associated with a risk of local recurrence: nipple-areola complex removed or not, and pathological margins. Cosmetic results were evaluated with patient's questionnaires: 40/47 patients (85%) stated they were satisfied.
  
  
  CONCLUSIONS
  In spite of the short follow-up, conservative surgery is a safe procedure for local control only in cases with negative margins. Procedure for nipple areola complex is now questionable. Cosmetic results are achieved if indication of central lumpectomy are confined to small and limited tumors. For other tumors, plastic remodelling is necessary.
authors.affiliation: Service de Chirurgie, Centre Oscar-Lambret, Lille.
authors.forename: S
authors.initials: S
authors.lastname: Giard
authors.forename: S
authors.initials: S
authors.lastname: Vanderstichele
authors.forename: B
authors.initials: B
authors.lastname: Coche
authors.forename: J C
authors.initials: JC
authors.lastname: Laurent
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016019:Survival Analysis; D016896:Treatment Outcome
vernacular_title: Le traitement chirurgical conservateur des tumeurs rétro-aréolaires due sein. Contrôle local et résultats esthétiques.