Aesthetic Unit Boundary Approach to Large Fibroadenoma Resection

Abstract

Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition.

Oncoplastic Breast Reconstruction for Large Pediatric Breast Tumors

“…In addition, Srivastava et al 22 performed a free nipple graft for the excision and reconstruction of a giant fibroadenoma in a 12-year-old female. Concentric circumareolar incisions, performed by Lai et al 24 and Wang et al, 18 and the use of a single circumareolar incision or Swiss-roll technique, performed by Naraynsingh et al 25 and Zeeshan et al, 26 have both been shown to provide satisfactory outcomes for fibroadenoma excision by reducing scarring. Chang et al 3 used McKissock bipedicle technique for breast reconstruction after mass excision to preserve breast parenchyma, adjust the skin envelope, and obtain nipple-areola symmetry.…”

“…In addition, Srivastava et al 22 performed a free nipple graft for the excision and reconstruction of a giant fibroadenoma in a 12-year-old female. Concentric circumareolar incisions, performed by Lai et al 24 and Wang et al, 18 and the use of a single circumareolar incision or Swiss-roll technique, performed by Naraynsingh et al 25 and Zeeshan et al, 26 As in choosing the appropriate breast cancer patient for breast conservation therapy with lumpectomy and oncoplastic breast reduction, patient selection for this technique in the pediatric population is also critical. Perhaps the most important component of patient selection is evaluating and estimating the breast volume that will remain after mass removal.…”

“…Oncoplastic reconstruction has also been demonstrated to be valuable in removing giant pediatric fibroadenomas, but the literature has limited guidance for surgical planning 17,18 . In addition, few studies have discussed using a free nipple graft and Wise pattern for pediatric oncoplastic reconstruction after giant fibroadenoma excision 19–22 .…”

“…Oncoplastic reconstruction has also been demonstrated to be valuable in removing giant pediatric fibroadenomas, but the literature has limited guidance for surgical planning. 17,18 In addition, few studies have discussed using a free nipple graft and Wise pattern for pediatric oncoplastic reconstruction after giant fibroadenoma excision. [19][20][21][22] This case series offers the surgical techniques of 3 pediatric females who underwent giant fibroadenoma excision by breast surgical oncology and oncoplastic reconstruction by plastic surgery and aims to provide further guidance for surgical teams.…”