title: Periareolar Approach in Oncoplastic Breast Conservative Surgery.
abstract: Breast cancer represents the most frequent cancer in female population. Nowadays breast conservative surgery (BCS) is an accepted option for breast malignancies, and its indications has been extended thanks to the advent of oncoplastic surgery, reducing both mastectomy and re-excision rate, avoiding at the same time breast deformities. From January 2008 to November 2011, 84 women underwent BCS with periareolar approach for oncoplastic volume replacement. We divided patients into four groups analyzing breast size and resection volume (Group 1: small-moderate sized breast with resection <20%; Group 2: small-moderate sized breast with resection >20%; Group 3: big sized breast with resection <20%; Group 4: big sized breast with resection >20%). We evaluated patients' satisfaction regarding final esthetic outcome using the specific module "Satisfaction with outcome" of the Breast-Q questionnaire 1 year after surgery. The mean age was 52.1 years, and the mean follow-up was 11.2 months. During the follow-up, 12 patients have been lost. We obtained high satisfaction mean value with Breast-Q questionnaire in each group: 75.8 in group 1, 63.4 in group 2, 81.1 in group 3, 69.7 in group 4. Periareolar approach as oncoplastic volume replacement technique is useful in correction of breast deformity after BCS: it is a versatile technique that can be easily adapted for any breast tumor location and for wide glandular resection.
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Klinger
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Giannasi
authors.affiliation: Multimedica Holding spa, U.O.C. Plastic Surgery, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Sesto San Giovanni (Milan), Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Klinger
authors.affiliation: Multimedica Holding spa, U.O.C. Plastic Surgery, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Sesto San Giovanni (Milan), Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Caviggioli
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Valeria
authors.initials: V
authors.lastname: Bandi
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Banzatti
authors.affiliation: Multimedica Holding spa, U.O.C. Plastic Surgery, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Sesto San Giovanni (Milan), Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Forcellini
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Maione
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Catania
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Valeriano
authors.initials: V
authors.lastname: Vinci
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Lisa
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Guido
authors.initials: G
authors.lastname: Cornegliani
authors.affiliation: Humanitas Clinical and Research Center, Department of Medical Biotechnology and Translational Medicine BIOMETRA - Plastic Surgery Unit, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano (Milan), Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Siliprandi
authors.affiliation: Humanitas Clinical and Research Center, Rozzano (Milan), Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: Tinterri
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015412:Mastectomy, Segmental / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D013524:Surgical Flaps
keywords: breast cancer; breast conservative surgery; periareolar approach