Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Feb;5(1):83-5.
doi: 10.3978/j.issn.2227-684X.2015.11.04.

Arrowhead approach for malignancies in the lower hemisphere of the breast

Affiliations

Arrowhead approach for malignancies in the lower hemisphere of the breast

Mona Poh-Choo Tan. Gland Surg. 2016 Feb.

Abstract

Breast conservation treatment (BCT) is the preferred modality of treatment for early breast cancer. However, a moderate proportion of women will develop deformity and those with tumours in the lower hemisphere of the breast pose a particular challenge. Here, a technique is described which allows acceptable cosmetic outcome in women with small or medium-sized breasts without the use of therapeutic mammoplasty or volume replacement with flaps.

Keywords: Breast conservation treatment (BCT); breast cancer; oncoplastic surgery; small to medium-sized breasts.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The author has no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The arrowhead incision is depicted for a patient with a 17 mm Grade 3 invasive ductal carcinoma of the right breast.
Figure 2
Figure 2
The elliptical resection pattern is demonstrated in this intraoperative photograph.
Figure 3
Figure 3
Cosmetic result 1 year after completion of treatment is shown.

Similar articles

Cited by

References

    1. Agarwal S, Pappas L, Neumayer L, et al. Effect of breast conservation therapy vs mastectomy on disease-specific survival for early-stage breast cancer. JAMA Surg 2014;149:267-74. - PubMed
    1. van Hezewijk M, Bastiaannet E, Putter H, et al. Effect of local therapy on locoregional recurrence in postmenopausal women with breast cancer in the Tamoxifen Exemestane Adjuvant Multinational (TEAM) trial. Radiother Oncol 2013;108:190-6. - PubMed
    1. van der Heiden-van der Loo M, Siesling S, Wouters MW, et al. The Value of Ipsilateral Breast Tumor Recurrence as a Quality Indicator: Hospital Variation in the Netherlands. Ann Surg Oncol 2015. [Epub ahead of print]. - PubMed
    1. Munhoz AM, Montag E, Arruda E, et al. Reliability of inferior dermoglandular pedicle reduction mammaplasty in reconstruction of partial mastectomy defects: surgical planning and outcome. Breast 2007;16:577-89. - PubMed
    1. Holmes DR, Silverstein MJ. Triangle resection with crescent mastopexy: an oncoplastic breast surgical technique for managing inferior pole lesions. Ann Surg Oncol 2012;19:3289-91. - PubMed