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Centrally located breast carcinomas treated with central quadrantectomy and immediate nipple–areola reconstruction: a cohort study

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Abstract

Background

Mastectomy has often been cited as the favoured option for centrally located breast tumours because lumpectomies or quadrantectomies that remove the nipple–areola complex often result in poor cosmesis. Currently, breast-conserving treatment is a preferred treatment for centrally located breast tumours, but this approach requires oncoplastic breast technique to avoid aesthetic sequels. This article describes the use of breast reduction techniques with immediate nipple–areola complex reconstruction (utilised to treat breast cancer) for centrally sited breast tumours

Patients

Ten patients suffering from a centrally located breast carcinoma were treated at our breast unit over a period of 16 years (2006–2022). Oncologic and patient-reported outcomes were updated revising electronic reports and surveying with BREAST-Q module Breast conserving therapy (version 2, Spanish) postoperative scales.

Results

Excision margins were complete in all cases. There have been no postoperative complications, all patients are alive and no cases of recurrence after 84.8 months of mean follow-up. Patients score the domain satisfaction with breast: mean 61.7 (Standard deviation 12.5) out of 100.

Conclusions

Breast reduction mammaplasty with immediate nipple–areola complex reconstruction allows surgeons to carry out a central quadrantectomy to treat centrally located breast carcinoma with good oncologic and cosmetic outcome.

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Data availability statement

The data that support the findings of this study are available on request from the corresponding author.

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Acknowledgements

Authors would like to thank all the women who participated in this study for their indispensable and uninterested collaboration.

Funding

No funding sources.

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Authors and Affiliations

  1. Breast Unit, Hospital Valdecilla, University of Cantabria, Avda. Valdecilla Sn, 39008, Santander, Cantabria, Spain

    Hernanz Fernando, González Noelia & Esteban Maria

  2. Servicio Cántabro de Salud (SCS), Instituto de Investigación Sanitaria Valdecilla (IDIVAL), Santander, Cantabria, Spain

    Muñoz Pedro

Authors
  1. Hernanz Fernando
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  2. González Noelia
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  3. Esteban Maria
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  4. Muñoz Pedro
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Contributions

FH, substantial contributions to the conception and design of the work; or the acquisition, analysis and interpretation of data for the work. Final approval of the version to be published. NG, the acquisition of data for the work. ME, the acquisition of data for the work. PM, analysis and interpretation of data for the work. Final approval of the version to be published.

Corresponding author

Correspondence to Hernanz Fernando.

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Conflict of interest

The authors have no conflicts of interest to declare.

Statement of ethics

This study was conducted in accordance with the Declaration of Helsinki and was approved by the Clinical Research Ethics Committee of Cantabria (Comité Ético de Investigación Clínica de Cantabria). The participants signed the informed consent form and completed the Breast Conserving Therapy Module Postoperative Scales (Spanish for the Spanish version).

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Fernando, H., Noelia, G., Maria, E. et al. Centrally located breast carcinomas treated with central quadrantectomy and immediate nipple–areola reconstruction: a cohort study. Breast Cancer 30, 552–558 (2023). https://doi.org/10.1007/s12282-023-01445-6

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  • DOI: https://doi.org/10.1007/s12282-023-01445-6

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