Conservative surgical treatment of retro-areolar breast tumors. Local control and esthetic results
Giard, S.; Vanderstichele, S.; Coche, B.; Laurent, J.C.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 25(3): 238-241
1996
ISSN/ISBN: 0368-2315 PMID: 8767218 Document Number: 457160
A retrospective study of local faiture and cosmetic results after conservative surgery for retroareolar breast cancer. Seventy-seven patients underwent a conservative surgical procedure between 1983 and 1994. Median follow-up was 37,5 months. Fourteen patients experienced a recurrence (5 local, 2 local and distant, 7 distant). Only two probably interrelated factors were associated with a risk of local recurrence: nipple-areola complex removed or not, and pathological margins. Cosmetic results were evaluated with patient's questionnaires: 40/47 patients (85%) stated they were satisfied. In spite of the short follow-up, conservative surgery is a safe procedure for local control only in cases with negative margins. Procedure for nipple areola complex is now questionable. Cosmetic results are achieved if indication of central lumpectomy are confined to small and limited tumors. For other tumors, plastic remodelling is necessary.