Centrally located breast carcinomas treated with central quadrantectomy and immediate nipple-areola reconstruction: a cohort study
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2023Derechos
Attribution-NonCommercial 4.0 International
Publicado en
Breast Cancer, 2023, 30, 552-558
Editorial
Dove Medical Press
Enlace a la publicación
Palabras clave
Central breast tumor
Central quadrantectomy
Immediate nipple reconstruction
Therapeutic mammaplasty
BREAST-Q
Resumen/Abstract
Background: Mastectomy has often been cited as the favoured option for centrally located breast tumours because lumpectomies or quadrantectomies that remove the nipple-areola complex often result in poor cosmesis. Currently, breast-conserving treatment is a preferred treatment for centrally located breast tumours, but this approach requires oncoplastic breast technique to avoid aesthetic sequels. This article describes the use of breast reduction techniques with immediate nipple-areola complex reconstruction (utilised to treat breast cancer) for centrally sited breast tumours PATIENTS: Ten patients suffering from a centrally located breast carcinoma were treated at our breast unit over a period of 16 years (2006-2022). Oncologic and patient-reported outcomes were updated revising electronic reports and surveying with BREAST-Q module Breast conserving therapy (version 2, Spanish) postoperative scales.
Results: Excision margins were complete in all cases. There have been no postoperative complications, all patients are alive and no cases of recurrence after 84.8 months of mean follow-up. Patients score the domain satisfaction with breast: mean 61.7 (Standard deviation 12.5) out of 100.
Conclusions: Breast reduction mammaplasty with immediate nipple-areola complex reconstruction allows surgeons to carry out a central quadrantectomy to treat centrally located breast carcinoma with good oncologic and cosmetic outcome
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