Management of central breast tumours with immediate reconstruction of the nipple-areola complex; a suggested guide

Lena Carstensen*, Janne Bigaard

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background: Breast conserving surgery (BCS) for central breast tumours with immediate reconstruction of the nipple-areola complex (NAC) is a relatively new addition to the surgical palette of the oncoplastic surgeon. Most oncoplastic techniques presented to date have only been suitable for women with large breasts. Methods: From 2012 to 2013, a series of eligible women with central breast cancers were treated with BCS and NAC reconstruction. According to breast size and shape, three different procedures were performed. Results: 20 women were operated, 13 by breast reduction techniques and 7 by anterior intercostal perforator flaps (AICAP flaps). Overall cosmetic results were good to excellent for breast shape, symmetry and neo-nipple projection. Conclusion: We present a guideline for selecting the best available surgical technique for immediate NAC reconstruction in women with any breast type, size or shape and describe a new replacement technique using a local perforator flap.

OriginalsprogEngelsk
TidsskriftBreast
Vol/bind24
Udgave nummer1
Sider (fra-til)38-45
ISSN0960-9776
DOI
StatusUdgivet - 1. feb. 2015
Udgivet eksterntJa

Fingeraftryk

Nipples
Segmental Mastectomy
Guidelines

Citer dette

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title = "Management of central breast tumours with immediate reconstruction of the nipple-areola complex; a suggested guide",
abstract = "Background: Breast conserving surgery (BCS) for central breast tumours with immediate reconstruction of the nipple-areola complex (NAC) is a relatively new addition to the surgical palette of the oncoplastic surgeon. Most oncoplastic techniques presented to date have only been suitable for women with large breasts. Methods: From 2012 to 2013, a series of eligible women with central breast cancers were treated with BCS and NAC reconstruction. According to breast size and shape, three different procedures were performed. Results: 20 women were operated, 13 by breast reduction techniques and 7 by anterior intercostal perforator flaps (AICAP flaps). Overall cosmetic results were good to excellent for breast shape, symmetry and neo-nipple projection. Conclusion: We present a guideline for selecting the best available surgical technique for immediate NAC reconstruction in women with any breast type, size or shape and describe a new replacement technique using a local perforator flap.",
keywords = "Breast cancer, Breast reconstruction, Breast-conserving surgery, Mammaplasty, Perforator flaps",
author = "Lena Carstensen and Janne Bigaard",
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Management of central breast tumours with immediate reconstruction of the nipple-areola complex; a suggested guide. / Carstensen, Lena; Bigaard, Janne.

I: Breast, Bind 24, Nr. 1, 01.02.2015, s. 38-45.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Management of central breast tumours with immediate reconstruction of the nipple-areola complex; a suggested guide

AU - Carstensen, Lena

AU - Bigaard, Janne

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Background: Breast conserving surgery (BCS) for central breast tumours with immediate reconstruction of the nipple-areola complex (NAC) is a relatively new addition to the surgical palette of the oncoplastic surgeon. Most oncoplastic techniques presented to date have only been suitable for women with large breasts. Methods: From 2012 to 2013, a series of eligible women with central breast cancers were treated with BCS and NAC reconstruction. According to breast size and shape, three different procedures were performed. Results: 20 women were operated, 13 by breast reduction techniques and 7 by anterior intercostal perforator flaps (AICAP flaps). Overall cosmetic results were good to excellent for breast shape, symmetry and neo-nipple projection. Conclusion: We present a guideline for selecting the best available surgical technique for immediate NAC reconstruction in women with any breast type, size or shape and describe a new replacement technique using a local perforator flap.

AB - Background: Breast conserving surgery (BCS) for central breast tumours with immediate reconstruction of the nipple-areola complex (NAC) is a relatively new addition to the surgical palette of the oncoplastic surgeon. Most oncoplastic techniques presented to date have only been suitable for women with large breasts. Methods: From 2012 to 2013, a series of eligible women with central breast cancers were treated with BCS and NAC reconstruction. According to breast size and shape, three different procedures were performed. Results: 20 women were operated, 13 by breast reduction techniques and 7 by anterior intercostal perforator flaps (AICAP flaps). Overall cosmetic results were good to excellent for breast shape, symmetry and neo-nipple projection. Conclusion: We present a guideline for selecting the best available surgical technique for immediate NAC reconstruction in women with any breast type, size or shape and describe a new replacement technique using a local perforator flap.

KW - Breast cancer

KW - Breast reconstruction

KW - Breast-conserving surgery

KW - Mammaplasty

KW - Perforator flaps

U2 - 10.1016/j.breast.2014.11.002

DO - 10.1016/j.breast.2014.11.002

M3 - Journal article

VL - 24

SP - 38

EP - 45

JO - Breast

JF - Breast

SN - 0960-9776

IS - 1

ER -