Journal of the Egyptian National Cancer Institute
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J Egypt Natl Canc Inst · Dec 2006
Clinical TrialOncoplastic resection of retroareolar breast cancer: central quadrantectomy and reconstruction by local skin-glandular flap.
Patients with central breast neoplasms account for 5 to 20% of breast cancer cases and, for a long time, they have been denied Breast Conservation Surgery (BCS) and conventionally treated with mastectomy. The high incidence of Nipple-Areola-Complex (NAC) involvement usually associated with these tumors necessitates nipple and areolar resection together with an adequate safety margin around the tumor, which yields an unacceptable cosmetic result. With the help of Oncoplastic Surgical Techniques, BCS can be offered to these patients. In this study central quadrantectomy and breast reconstruction by an infero-laterally based pedicled flap were evaluated. ⋯ Oncoplastic techniques have succeeded in expanding the role of BCS to retro-areolar tumors. Central quadrantectomy with repair by a skin-glandular flap is a relatively simple procedure that yields very satisfactory cosmetic results with minimal complications and it may be considered as one of the noteworthy therapeutic options for patients with central breast tumors.