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Case Reports
. 2011:2011:121985.
doi: 10.1155/2011/121985. Epub 2011 Sep 11.

Oncoplastic surgery in Japanese patients with breast cancer close to the areola: partial mastectomy using periareolar mammoplasty: a case report

Yuko Kijima  1 , Heiji Yoshinaka, Munetsugu Hirata, Tadao Mizoguchi, Sumiya Ishigami, Akihiro Nakajo, Hideo Arima, Shinichi Ueno, Shoji Natsugoe
Affiliations
Case Reports

Oncoplastic surgery in Japanese patients with breast cancer close to the areola: partial mastectomy using periareolar mammoplasty: a case report

Yuko Kijima et al. Case Rep Surg. 2011.

Abstract

We report the results of oncoplastic surgery in two Japanese patients with early breast cancer. Their breasts were large and ptotic, and their lesions, which were close to the areola, were considered to be suitable for breast conservative surgery. Oncoplastic surgery involving partial resection of the gland and a periareolar mammoplasty were performed. The technique was easy to perform, and the cosmetic outcome was excellent.

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Figures

Figure 1
Figure 1
Case  1. A 51-year-old patient with a T1 tumor in the upper-inner area of her left breast. (a) Bilateral ptotic breasts with the nipple-areola complex (NAC) located beneath the inframammary line. The surgical scar produced by the excisional biopsy was located at the 11 O'clock position of her left breast. (b) Cystic degeneration caused by the excision biopsy was detected by ultrasonography. Periareolar mammaplasty was planned. (c) Postoperative 18 months.
Figure 2
Figure 2
Preoperative design of the periareolar technique showing the tumor. (a) A crescent of skin was removed together with a partial gland. A residual cancer lesion was suspected (red circle). (b) A cylinder of gland tissue was removed together with the pectoralis major muscle. (c) A suction tube was left on the surface of pectoral major muscle. (d) The superior and inferior pedicles were sutured to reduce the defect. (e) The areola suturing was completed with a single suture 4-0 PDS and a running subcuticular 4-0 Monocryl. (f) After closure.
Figure 3
Figure 3
Pre- and postoperative images of case 1. (a) A crescent of skin and the parenchymal tissue just under it were removed. (b) Identical bilateral procedures were performed.
Figure 4
Figure 4
Bilateral resected tissue. (a) The resected tissues weighed 94 g (right) and 104 g (left), respectively. (b) Fixed and sliced tissue used for the histological examination. No residual cancer cells were seen in the left breast.
Figure 5
Figure 5
Case  2. a 51-year-old patient with a T1 tumor in the periareolar area of her left breast. (a) Her breasts were ptotic and large. (b) Lesions were detected by ultrasonography with the patient in a supine position. A 2 cm surgical margin (black circle) was drawn around the cancer lesion (red circle). No contralateral procedure was planned. (c) Postoperative 6 months.
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