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April 1996

Nipple-Areolar Preservation During Breast-Conserving Therapy for Subareolar Breast Carcinomas

Author Affiliations

From the Joyce Eisenberg Keefer Breast Center of the John Wayne Cancer Institute at Saint John's Hospital and Health Center, Santa Monica, Calif.

Arch Surg. 1996;131(4):430-433. doi:10.1001/archsurg.1996.01430160088019

Objective:  To determine if women with subareolar breast carcinoma can be successfully treated by breast-conserving therapy consisting of segmental mastectomy that preserves the nipple-areolar complex, axillary lymph node dissection, and postoperative irradiation.

Design:  Prospective study.

Setting:  Tertiary care cancer center.

Patients:  Twenty-five patients; median age, 56 years; median tumor diameter, 1.4 cm; and median follow-up, 48 months.

Intervention:  Breast-conserving therapy for subareolar primary breast carcinoma.

Results:  Two patients had positive surgical margins of resection, and another patient underwent simple mastectomy after developing a local recurrence. Nipple-areolar distortion was the most common cosmetic deformity after breast-conserving therapy, but overall cosmesis was good. At the most recent follow-up, all patients were free of disease.

Conclusion:  Patients who have small subareolar primary breast carcinomas without evidence of nipple involvement are candidates for breast-conserving therapy with nipple-areolar preservation.(Arch Surg. 1996;131:430-433)