Nipple Reconstruction Using Spiral-peeling Technique During Oncoplastic Breast-conserving Surgery for a Patient with Small Breasts

Overview

Journal Surg Today

Specialty General Surgery

Date 2024 Jul 5

PMID 38969868

Authors

Yuko Kijima

Munetsugu Hirata

Naotomo Higo

Yumika Nakazawa

Kazuya Shinmura

Affiliations

Soon will be listed here.

Abstract

Treatment of early breast cancer using breast-conserving surgery (BCS) commonly leads to local control and acceptable cosmetic results. We report a useful technique to achieve symmetry of the breast shape and nipple-areola, with excellent results. A Japanese patient with early breast cancer located in the inner central area of the breast was enrolled in this study. Intraductal spread of breast cancer to the nipple was suspected; however, no invasion was observed outside the nipple wall. We preserved the cylindrical surface, but resected the inner tissue with the top surface of the nipple. After coring the nipple, the remnant cylindrical surface was cut into a spiral shape. Nipple reconstruction using the spiral-peeling technique during oncoplastic breast-conserving surgery (OPBCS) may be useful for patients who desire nipple preservation.

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