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Surgery Today
Published in: Surgery Today 10/2016

01-10-2016 | Original Article

Therapeutic mammoplasty combining partial mastectomy with nipple-areola grafting for patients with early breast cancer: a case series

Authors: Yuko Kijima, Heiji Yoshinaka, Munetsugu Hirata, Yoshiaki Shinden, Akihiro Nakajo, Hideo Arima, Hiroshi Kurahara, Sumiya Ishigami, Takaaki Arigami, Hiroshi Okumura, Shoji Natsugoe

Published in: Surgery Today | Issue 10/2016

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Abstract

Purpose

Therapeutic mammoplasty (TM) for breast cancer is a widely practiced oncoplastic technique. Intraductal spread towards the nipple or the location of the cancerous lesion on the central breast may become a contraindication for breast-conserving surgery. We herein report the results of TM in such cases.

Methods

Six patients underwent TM that combined partial mastectomy with free nipple-areola (NA) grafting. The nipple was removed together with the cancerous lesions, and the areola was preserved for NA reconstruction. The tumors were located in the lower quadrant (n = 1), the central area (n = 1), the upper-outer area (n = 2), and the upper-inner area (n = 2). The types of mammoplasty that were performed included: amputation (n = 1), inverted T mammoplasty (n = 3), and L mammoplasty (n = 2). With the exception of one patient, all patients underwent inverted T mammoplasty on the contralateral breast in order to achieve symmetry.

Results

The total surgical and plastic periods ranged from 155 to 235 min (mean 207 min) and 100 to 150 min (mean 121 min), respectively. Oncological safety and excellent cosmetic results were achieved.

Conclusions

TM combining partial mastectomy with NA grafting was successfully performed in patients with early-stage cancer in all quadrant areas.
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Metadata
Title
Therapeutic mammoplasty combining partial mastectomy with nipple-areola grafting for patients with early breast cancer: a case series
Authors
Yuko Kijima
Heiji Yoshinaka
Munetsugu Hirata
Yoshiaki Shinden
Akihiro Nakajo
Hideo Arima
Hiroshi Kurahara
Sumiya Ishigami
Takaaki Arigami
Hiroshi Okumura
Shoji Natsugoe
Publication date
01-10-2016
Publisher
Springer Japan
Published in
Surgery Today / Issue 10/2016
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-015-1294-0

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