title: Breast conserving surgery with preservation of the nipple-areola complex as a feasible and safe approach in male breast cancer: a case report.
abstract: BACKGROUND
  Breast cancer in men is rare. The evidence about treatment has been derived from data on the management of the disease in women. The usual treatment is for male patients to undergo modified radical mastectomy. There is insufficient experience of breast conserving surgery with preservation of the nipple. The management of patients who demand such an approach for personal reasons remains a challenge for both the surgeon and oncologist.
  
  
  METHODS
  A 50-year-old man with a breast cancer was successfully managed with breast conserving surgery with nipple preservation combined with axillary clearance and postoperative radiotherapy, chemotherapy and hormone treatment. Since there are no similar cases in the literature, we discuss the feasibility, safety and possible indications of such an approach.
  
  
  CONCLUSIONS
  Despite the limited indications and evidence about the safety and efficacy of breast conserving surgery with nipple preservation in men with breast cancer, it is a feasible approach if other options are declined by the patient. More studies are necessary to reach firm conclusions about the safety of such an approach.
authors.affiliation: Breast Care Unit, St Mary's NHS Trust, London, UK. drlanitis@yahoo.com
authors.forename: Sophocles
authors.initials: S
authors.lastname: Lanitis
authors.forename: George
authors.initials: G
authors.lastname: Filippakis
authors.forename: Ragheed
authors.initials: R
authors.lastname: Al Mufti
authors.forename: Dimitri J
authors.initials: DJ
authors.lastname: Hadjiminas