TECHNIQUE FOR ONCOPLASTY IN PATIENTS WITH BREAST CANCER OF CENTRAL LOCALIZATION

摘要

A technique for oncoplasty in the patients with breast cancer of central localization comprises circumareolar incision of the breast skin, the removal of nipple-areolar complex with cancer within R0 resection and one-piece lymphatic dissection. Four radial incisions are provided in breast tissues down to the greater pectoral muscle (positioned at 2, 4, 8 and 10 o'clock from the middle of the resected nipple) with the length equaling the radius of the nipple followed by deepidermization between the lines of the cut located at the positions from 4 to 8 o'clock and from 10 to 2 o'clock sparing the skin triangles at 6 and 12 o'clock. Therefore, four dermoglandular flaps are tailored. Superior and inferior flaps are mobilized separating them from the greater pectoral muscle and approximate one to another directing them into the middle of the resected nipple-areolar complex. These flaps are sutured. Then lateral and medial flaps are mobilized, approximated one to another over superior and inferior flaps, and sutured. This procedure results in the excess tissues generating at the site of the prospective nipple-areolar complex. Finally, the wound is sutured layer-by-layer without stretching the skin flaps.