Breast-conserving surgery with resection of the nipple–areola complex for subareolar breast carcinoma

Tausch, Christoph; Hintringer, Thomas; Kugler, F.; Schmidhammer, C.; Bauer, Madeline; Aufschnaiter, M.

doi:10.1002/bjs.5083

Cited by 15 publications

(4 citation statements)

References 10 publications

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“…Our study found no difference with respect to local recurrence and systemic disease in patients with retroareolar carcinoma treated by either BCS or mastectomy. These data are similar to other studies showing the oncologic safety of BCS in retroareolar breast cancers, provided postoperative radiation therapy is given (3–13,18) (Table 3). However, due to the small number of patients included in all studies and the short‐term follow‐up no final conclusions may be drawn yet on the long‐term oncologic outcome of retroareolar breast cancer treated by BCS.…”

Section: Discussionsupporting

confidence: 89%

“…The incidence of local recurrence and distant metastases following breast conservation surgery (BCS) combined with radiation therapy is comparable to that after mastectomy (1,2). Although the oncologic safety of BCS has been shown in patients with retroareolar breast cancers (3–13) some surgeons still prefer a mastectomy over BCS in these patients. This may be based on personal oncologic concerns and the often poor cosmesis resulting from resection of the nipple‐areola complex (NAC) and subareolar glandular tissue (6,14–16).…”

mentioning

confidence: 99%

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Central Quadrantectomy with Resection of the Nipple-Areola Complex Compared with Mastectomy in Patients with Retroareolar Breast Cancer

et al. 2007

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Appropriate surgery in women with retroareolar breast cancer should allow resection of the cancer with wide free margins and an acceptable cosmetic result. The aim of this study was to compare breast conservation surgery (BCS) to mastectomy for treatment of retroareolar breast cancer. In a prospective nonrandomized study, 69 women with retroareolar breast cancers underwent either central quadrantectomy (n=33) with complete removal of the nipple-areola complex or mastectomy (n=36). Two of 33 (6%) patients scheduled for BCS had a secondary mastectomy and immediate reconstruction due to involved margins. After a median follow-up of 42 month (range 17-99 months) in the BCS group and 43 months (range 16-118 months) in the mastectomy group local and regional recurrences as well as systemic disease were comparable between both groups. The postoperative cosmetic result after BCS as evaluated by the patients was rated as excellent in 80% and good in 20% with no poor result. BCS followed by radiation therapy is a feasible alternative to mastectomy in patients with retroareolar breast cancer.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

Central Quadrantectomy with Resection of the Nipple-Areola Complex Compared with Mastectomy in Patients with Retroareolar Breast Cancer

et al. 2007

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“…[52][53][54][55][56][57][58][59] However, there have been studies reporting BCS to be equally efficient in patients with subareolar breast cancers as compared to that in patients with peripheral breast cancers. A prospective study by Tausch et al [60] included 44 women who had suspected nipple involvement and underwent BCS with the removal of NAC. The study reported no local failure in any of the patients at 51 months and the cosmetic results were satisfactory to excellent.…”

Section: Breast Conserving Surgery In Subareolar/retroareolar Breast mentioning

confidence: 99%

Practical consensus recommendations regarding the management of sentinel lymph node issues in early breast cancer

Kabra

Aggarwal

Vardhan³

et al. 2018

South Asian J Cancer

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Axillary lymph node involvement is a very important poor prognostic factor in the clinical staging and management of breast cancer patients. Traditionally, axillary lymph node dissection (ALND) has been used for determining the status of the axillary lymph nodes. More recently the sentinel lymph node biopsy (SLNB) procedure has gained wider acceptance as the standard of care, having the advantage of being less invasivewhile providing good accuracy. This expert group used data from published literature, practical experience and opinion of a large group of academic oncologists to arrive at these practical consensus recommendations in regards with the use of the two different procedures and other issues in patients with early breast cancer for the benefit of community oncologists.

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“…Subareolar tumours have previously been viewed as an indication for mastectomy but may be safely approached by central excision with resection of the nipple-areola complex [54, 55]. The skin wound can be closed with a purse string or horizontal suture, although this tends to reduce the projection of the breast mound.…”

Section: Optimising Cosmesis: Central Tumours Occupying 10–20% Of mentioning

confidence: 99%

Breast Conservation Surgery: State of the Art

White

Achuthan

Turton

et al. 2011

International Journal of Breast Cancer

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Breast conservation surgery is available to the vast majority of women with breast cancer. The combination of neoadjuvant therapies and oncoplastic surgical techniques allows even large tumours to be managed with a breast-conserving approach. The relationship between breast size and the volume of tissue to be excised determines the need for volume displacement or replacement. Such an approach can also be used in the management of carefully selected cases of multifocal or multicentric breast cancer. The role of novel techniques, such as endoscopic breast surgery and radiofrequency ablation, is yet to be precisely defined.

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Breast-conserving surgery with resection of the nipple–areola complex for subareolar breast carcinoma

Abstract: Breast-conserving therapy is a safe and cosmetically acceptable alternative to mastectomy for subareolar breast cancer.

Cited by 15 publications

References 10 publications

Central Quadrantectomy with Resection of the Nipple-Areola Complex Compared with Mastectomy in Patients with Retroareolar Breast Cancer

Central Quadrantectomy with Resection of the Nipple-Areola Complex Compared with Mastectomy in Patients with Retroareolar Breast Cancer

Practical consensus recommendations regarding the management of sentinel lymph node issues in early breast cancer

Breast Conservation Surgery: State of the Art

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