Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola

Kijima, Yuko; Hirata, Munetsugu; Higo, Naotomo; Toda, Hiroko; Morise, Zenichi; Shinden, Yoshiaki; Natsugoe, Shoji

doi:10.1007/s00595-020-02041-3

Cited by 2 publications

(1 citation statement)

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“…This can be repaired by undermining a wide area or performing volume replacement [ 16 ]. However, if we remove the over-lying skin together, volume replacement or volume displacement using a skin-glandular flap can be safely performed, with excellent results achieved [ 17 , 18 ]. In the present study, by horizontally sliding the skin-breast tissue toward the pyramidal space, we were able to avoid undermining the breast tissue for volume displacement.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic breast surgery combining partial mastectomy with resection of double equilateral triangular skin flaps

et al. 2021

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The treatment of early breast cancer using oncoplastic breast surgery (OBS) has been gradually increasing in popularity and is recognized for its efficacy in local control and excellent cosmetic results. We herein report a useful technique for obtaining symmetry of the breast shape for an early breast lesion located in an outer area, close to the nipple-areola, in a Japanese patient with ptotic, fatty breasts. We designed two equilateral triangles: one just upon the resected area and the other on the axilla. They were located on a straight line, with one top pointed to the cranial side and one to the caudal side. A crescent area around the areola was de-epithelialized in the 12 o’clock and 6 o’clock directions. Columnar-shaped breast tissue and an equilateral triangular skin flap and fatty tissue were removed together. To fill the defect, a skin-glandular flap was slid horizontally after suturing the inframammary line. Although an incision scar was formed on the breast and lateral chest wall in a Z-shape, this new technique was able to achieve not only cancer control but also excellent cosmetic results.

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Section: Discussionmentioning

confidence: 99%