Periareolar Approach in Oncoplastic Breast Conservative Surgery

Abstract

Breast cancer represents the most frequent cancer in female population. Nowadays breast conservative surgery (BCS) is an accepted option for breast malignancies, and its indications has been extended thanks to the advent of oncoplastic surgery, reducing both mastectomy and re-excision rate, avoiding at the same time breast deformities. From January 2008 to November 2011, 84 women underwent BCS with periareolar approach for oncoplastic volume replacement. We divided patients into four groups analyzing breast size and resection volume (Group 1: small-moderate sized breast with resection <20%; Group 2: small-moderate sized breast with resection >20%; Group 3: big sized breast with resection <20%; Group 4: big sized breast with resection >20%). We evaluated patients' satisfaction regarding final esthetic outcome using the specific module "Satisfaction with outcome" of the Breast-Q questionnaire 1 year after surgery. The mean age was 52.1 years, and the mean follow-up was 11.2 months. During the follow-up, 12 patients have been lost. We obtained high satisfaction mean value with Breast-Q questionnaire in each group: 75.8 in group 1, 63.4 in group 2, 81.1 in group 3, 69.7 in group 4. Periareolar approach as oncoplastic volume replacement technique is useful in correction of breast deformity after BCS: it is a versatile technique that can be easily adapted for any breast tumor location and for wide glandular resection.

Smartphone Dynamic Infrared Thermography for Harvesting AICAP Flap in a Large Breast-conservative Surgery

“…Our group has extensive experience in using the periareolar approach to all breast resection in oncoplastic surgery, but in this case, with the need to lose a large area of skin at the inferior-inner pole, it would not have been applicable. 7,8 We opted for the setting up of a flap based on the AICAP with the maintenance of medial fasciocutaneous continuity.…”

Reply to “The Limitations of Periareolar Mammaplasty”

“…These considerations derive from our experience in oncoplastic breast 3 surgery and correction of breast malformation, such as stenotic breasts. 4 , 5 …”

Comment to “Percutaneous Intradermal Purse-String Closure for Correction of Male Tuberous Nipple-Areola Complex Deformity”

“…We would like to conclude by highlighting the importance of the periareolar incision for the correction of almost the totality of ptotic male breasts; through the time we have gained much experience in this approach which has shown to be the perfect solution for removing and reshaping the excessive ptotic skin by leaving the minimal scar possible for the patients [5].…”