title: Skin-nipple-sparing mastectomy: The first approach in primary myxoid chondrosarcoma of the breast.
abstract: The primary mammary chondrosarcoma corresponds to less than 0,5% of the mammary malignancies. For the period ranging from 1967 to 2014, only 18 cases were reported in the literature. A 41year old woman found a hard nodule on her external right superior quadrant/axillary prolongation through breast self-examination. The vacuum-assisted core biopsy (VACB) revealed "high grade extra-skeletal myxoid chondrosarcoma". A skin-nipple-sparing mastectomy with the insertion of a mammary expander was performed. A protocol of adjuvant radiotherapy was also indicated. Until 2013, the gold standard was the radical mastectomy. By 2014, there were two cases of conservative approach to quadrantectomy. To our knowledge, this represents the first case in the literature in which a skin-nipple-sparing mastectomy has been performed on a primitive mesenchymal neoplasm of the breast. Such an oncoplastic approach was performed considering the young age of the woman, to assure the surgical radicality and a better quality of life to the patient.
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Militello
authors.affiliation: Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Zabbia
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Mascolino
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: K
authors.initials: K
authors.lastname: Kabhuli
authors.affiliation: Plastic and Reconstructive Surgery, Department of Surgical, Oncological and Oral Sciences, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Gulotta
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy. Electronic address: demarco90@yahoo.it.
authors.forename: P
authors.initials: P
authors.lastname: De Marco
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Incandela
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Scerrino
authors.affiliation: Department of General and Emergency Surgery and Organs Transplantation, "Policlinico Paolo Giaccone", University of Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Gulotta
keywords: Breast cancer; Myxoid chondrosarcoma of the breast; Skin-nipple-sparing mastectomy