title: Management of central breast tumours with immediate reconstruction of the nipple-areola complex; a suggested guide.
abstract: BACKGROUND
  Breast conserving surgery (BCS) for central breast tumours with immediate reconstruction of the nipple-areola complex (NAC) is a relatively new addition to the surgical palette of the oncoplastic surgeon. Most oncoplastic techniques presented to date have only been suitable for women with large breasts.
  
  
  METHODS
  From 2012 to 2013, a series of eligible women with central breast cancers were treated with BCS and NAC reconstruction. According to breast size and shape, three different procedures were performed.
  
  
  RESULTS
  20 women were operated, 13 by breast reduction techniques and 7 by anterior intercostal perforator flaps (AICAP flaps). Overall cosmetic results were good to excellent for breast shape, symmetry and neo-nipple projection.
  
  
  CONCLUSIONS
  We present a guideline for selecting the best available surgical technique for immediate NAC reconstruction in women with any breast type, size or shape and describe a new replacement technique using a local perforator flap.
authors.affiliation: Department of Breast Surgery, Ringsted Hospital, Ringsted, Denmark. Electronic address: lena.carstensen@dadlnet.dk.
authors.forename: Lena
authors.initials: L
authors.lastname: Carstensen
authors.affiliation: Department of Breast Surgery, Rigshospitalet, Copenhagen, Denmark.
authors.forename: Janne
authors.initials: J
authors.lastname: Bigaard
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods*; D008488:Medical Illustration; D008875:Middle Aged; D009558:Nipples / Q000601:surgery*; D061525:Perforator Flap; D010781:Photography
keywords: Breast cancer; Breast reconstruction; Breast-conserving surgery; Mammaplasty; Perforator flaps