title: Conservative treatment of the central breast cancer with nipple-areolar resection: an alternative oncoplastic technique.
abstract: Conservative surgery with radiation therapy is the standard treatment for early-stage breast cancer. Nevertheless, the patients with subareolar breast cancer have been often excluded from breast-conserving surgery and treated with mastectomy because of the unacceptable cosmetic effect associated with the resection of the nipple-areola complex (NAC), as well as oncologic concerns about multicentricity or multifocality associated with these tumours. We show a conservative "oncoplastic technique" in which the resection of the central portion of the breast, including the NAC, can allow a wide excision of the tumour with uninvolved margins of resection and good cosmetic results.
authors.affiliation: Catholic University of Rome, Department of Surgery, Breast Unit, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Franceschini
authors.forename: D
authors.initials: D
authors.lastname: Terribile
authors.forename: S
authors.initials: S
authors.lastname: Magno
authors.forename: C
authors.initials: C
authors.lastname: Fabbri
authors.forename: P
authors.initials: P
authors.lastname: D'Alba
authors.forename: F
authors.initials: F
authors.lastname: Chiesa
authors.forename: A
authors.initials: A
authors.lastname: Di Leone
authors.forename: R
authors.initials: R
authors.lastname: Masetti
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D002277:Carcinoma / Q000601:surgery; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009558:Nipples / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D016896:Treatment Outcome