title: Prime Incision and Modified Moving Window: A Minimally Invasive Access for Breast Cancer Surgical Treatment.
abstract: BACKGROUND
  Conservative surgical treatment has been the treatment of choice for early breast cancer. It allows feasible oncological treatment with a satisfactory cosmetic approach and fast recovery. However, in some cases mastectomy is necessary. This study proposes a surgical approach with only one surgical access through the same incision, which is in line with precepts mentioned above. It is called the prime incision and modified moving window techniques.
  
  
  METHODS
  Thirty one patients with a breast cancer diagnosis who would have to undergo surgery were enrolled. The proposed technique was used and its advantages and feasibility were assessed and evaluated.
  
  
  RESULTS
  Twenty three conservative surgeries, 7 adenectomies and 1 axillary surgery were performed. All cases were appropriately treated and progressed without complications and had adequate aesthetic results. The technique presented allows only one surgical access to approach the axilla and breast cancer treatment.
  
  
  CONCLUSIONS
  This study proved the aesthetic advantage provided by only one surgical incision access feasible for surgical treatment as a secure approach. The minimally invasive approaches of prime incision and modified moving window were shown to provide adequate surgical access with only one scar, thus having a better cosmetic result.
authors.affiliation: Hospital Israelita Albert Einstein Oncology Center, São Paulo, Brazil.
authors.forename: Silvio
authors.initials: S
authors.lastname: E Bromberg
authors.affiliation: Hospital Israelita Albert Einstein Oncology Center, São Paulo, Brazil.
authors.forename: Roberto
authors.initials: R
authors.lastname: Giordano
keywords: Breast cancer; Minimally invasive surgery; Modified moving window; Prime Incision; Treatment