Abstract
AbstractTreatment of early breast cancer using breast-conserving surgery (BCS) commonly leads to local control and acceptable cosmetic results. We report a useful technique to achieve symmetry of the breast shape and nipple-areola, with excellent results. A Japanese patient with early breast cancer located in the inner central area of the breast was enrolled in this study. Intraductal spread of breast cancer to the nipple was suspected; however, no invasion was observed outside the nipple wall. We preserved the cylindrical surface, but resected the inner tissue with the top surface of the nipple. After coring the nipple, the remnant cylindrical surface was cut into a spiral shape. Nipple reconstruction using the spiral-peeling technique during oncoplastic breast-conserving surgery (OPBCS) may be useful for patients who desire nipple preservation.
Publisher
Springer Science and Business Media LLC
Reference23 articles.
1. Fisher B, Anderson S, Redmond CK, Wolmark R, Wickerham DL, Cronin WM. Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med. 1995;333:1456–61.
2. Dixon JM, Venizelos B, Chan P. Lattisimus dorsi mini-flap: a technique for extending breast conservation. Breast. 2002;11:58–65.
3. Rowland JH, Desmaond KA, Meyerowitz BE, Belin TR, Wyatt GE, Granz PA. Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. J Natl Cancer Inst. 2000;92:1422–9.
4. Al-Ghazal SK, Blamey RW, Stewart J, Morgan DAL. The cosmetic outcome in early breast cancer treated with conservation. Eur J Surg Oncol. 1999;25:566–70.
5. Grisotti A, Calabrese C. Conservation treastment of breast cancer: reconstructive problems. In: Spear SL, editor. Surgery of the breast: principles and art. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 147–78.