• Holm Eggemann, A Ignatov, D Elling, D Lampe, T Lantzsch, M Weise, and S-D Costa.
• Department of Obstetrics and Gynecology, Otto-von-Guericke University, Magdeburg, Germany. holm.eggemann@med.ovgu.de
• Ann. Surg. Oncol. 2013 Oct 1;20(11):3438-45.

PurposeTo evaluate the oncologic safety and cosmetic results after breast cancer surgery for central breast cancer by the B technique.MethodsSeventy women with operable breast cancer located in the central portion of the breast that had received resection surgery with the B technique were recruited. The primary outcome was the oncological safety, quantified as rate of positive resection margins and the cosmetic outcome evaluated by postsurgical self-assessment of the cosmetic outcome via questionnaire. The median follow-up period was 61.4 months (range 7.9-142.6 months).ResultsWith one exception all patients had T1-2 tumors less than 5 cm in diameter. Most patients had invasive ductal breast cancers (57.1 %), followed by ductal carcinoma-in situ (27.1 %) and invasive lobular breast cancers (8.6 %). The incidence of positive resection margins was 17.1 %. No local tumor recurrence occurred during follow-up; one patient had distant metastases. In total, 80 % of the patients reported that the cosmetic results met or exceeded their expectations.ConclusionsThe B technique is a safe breast conservation surgery for the excision of tumors located in the central portion of the breast and yields a high rate of satisfactory cosmetic results.

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