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Article |

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

Paul S. Dale, MD; Armando E. Giuliano, MD
Arch Surg. 1996;131(4):430-433. doi:10.1001/archsurg.1996.01430160088019.
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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)


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