Conservative treatment of the central breast cancer with nipple-areolar resection: an alternative oncoplastic technique.
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.
Franceschini
G
G
Catholic University of Rome, Department of Surgery, Breast Unit, Italy.
Terribile
D
D
Magno
S
S
Fabbri
C
C
D'Alba
P
P
Chiesa
F
F
Di Leone
A
A
Masetti
R
R
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