Periareolar incision for the management of benign breast tumors

Kong,Xiangnan; Chen,Xi; Jiang,Liyu; Ma,Tingting; Han,Baosan; Yang,Qifeng

doi:10.3892/ol.2016.5117

Periareolar incision for the management of benign breast tumors

Authors:
- Xiangnan Kong
- Xi Chen
- Liyu Jiang
- Tingting Ma
- Baosan Han
- Qifeng Yang
View Affiliations

Affiliations: Department of Breast Surgery, Qilu Hospital, Shandong University, Jinan, Shandong 250012, P.R. China, Department of General Surgery, School of Medicine, Shanghai Jiao Tong University, Shanghai 200092, P.R. China
Published online on: September 12, 2016 https://doi.org/10.3892/ol.2016.5117
Pages: 3259-3263
Copyright: © Kong et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Benign breast tumors (BBTs) are common in women. The traditional surgical resection method for the various types of BBT leaves obvious scars and affects the appearance of the breast. The present study introduces the experience of a single institution in the treatment of BBT by periareolar incision. The clinical data of 153 patients (182 breasts) with BBT who had undergone a resection via a periareolar incision between January 2010 and December 2012 in Qilu Hospital, Shandong University (Jinan, Shandong, China), was retrospectively analyzed. All incisions were primary healing. Of the 153 patients, 1 (0.7%) developed a hematoma and 2 (1.3%) developed slight nipple ischemia. No infections or other complications were observed. During 1 month to 3 years of follow‑up, the cosmetic effects were assessed. Periareolar incision is not only suitable for all types of breast surgery for benign tumor resection, but also has the advantage of a hidden incision, a small scar, no ischemic necrosis of the nipple areola, high patient satisfaction and good post‑operative cosmetic effect. The technique is therefore a good surgical incision choice that is worthy of note.

View Figures

View References

1	Chen W, Zheng R, Zhang S, Zhao P, Li G, Wu L and He J: The incidences and mortalities of major cancers in China, 2009. Chin J Cancer. 32:106–112. 2013. View Article : Google Scholar : PubMed/NCBI
2	Onstad M and Stuckey A: Benign breast disorders. Obstet Gynecol Clin North Am. 40:459–473. 2013. View Article : Google Scholar : PubMed/NCBI
3	Laufer M and Goldstein D: The breast: Examination and lesionsPediatric and Adolescent Gynecology. 5th. Sydor A: Lippincott Williams and Wilkins; Philidelphia: pp. 729–759. 2005
4	Dixon JM, Dobie V, Lamb J, Walsh JS and Chetty U: Assessment of the acceptability of conservative management of fibroadenoma of the breast. Br J Surg. 83:264–265. 1996. View Article : Google Scholar : PubMed/NCBI
5	Hamdi M, Würinger E, Schlenz I and Kuzbari R: Anatomy of the breast: A clinical application. Vertical Scar Mammaplasty. Springer. 1–8. 2005. View Article : Google Scholar
6	Lapid O, Klinkenbijl JH, Oomen MW and van Wingerden JJ: Gynaecomastia surgery in the Netherlands: What, why, who, where. J Plast Reconstr Aesthet Surg. 67:702–706. 2014. View Article : Google Scholar : PubMed/NCBI
7	Lee JH, Kim IK, Kim TG and Kim YH: Surgical correction of gynecomastia with minimal scarring. Aesthetic Plast Surg. 36:1302–1306. 2012. View Article : Google Scholar : PubMed/NCBI
8	Cannistra C, Piedimonte A and Albonico F: Surgical treatment of gynecomastia with severe ptosis: Periareolar incision and dermal double areolar pedicle technique. Aesthetic Plast Surg. 33:834–837. 2009. View Article : Google Scholar : PubMed/NCBI
9	Chen XY: Clinical observation on surgery through a minimal incision around areola mammae in treatment of benign tumor of mammary glands. Hebei Yixue. 20:777–780. 2014.(In Chinese).
10	Hu N: The clinical effects of different resection type of breast Fibroids. Zhongguo YIyao Daokan. 15:1135–1137. 2013.(In Chinese).
11	Liu XF, Zhang JX, Zhou Q, Chen F, Shao ZM and Lu C: A clinical study on the resection of breast fibroadenoma using two types of incision. Scand J Surg. 100:147–152. 2011.PubMed/NCBI
12	Zhao XY: Application value of areola incision at the edge of the benign breast tumor resection. Zhongguo Shiyong Yiyao. 5:57–58. 2010.(In Chinese).
13	Cao MZ: An improvement for dead-space management in partial mastectomy. Qingdao Daxue Yixueyuan Xuebao. 39:235–236. 2003.(In Chinese).
14	Kong LW, Ma XJ, Liu YH, Wang J and Han JQ: Influence of the circumareolar incision exsection in treatment of benign breast tumour on the nipple-areola complex sensibility. Jiefangjun Yiyao Zazhi. 26:84–86. 2014.(In Chinese).